Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.73 / $407.52 / $541.63	Facility		$348.73	$407.52	$541.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.83 / $773.81 / $879.33	Professional		$153.83	$773.81	$879.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.84 / $450.84 / $450.84	Facility		$450.84	$450.84	$450.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $608.92 / $608.92	Professional		$608.92	$608.92	$608.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $450.84	Facility		$133.69	$133.69	$450.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $608.92 / $608.92	Professional		$608.92	$608.92	$608.92