Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $503.35 / $668.99	Facility		$430.74	$503.35	$668.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $190.01 / $227.65	Professional		$179.25	$190.01	$227.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.20 / $532.20 / $532.20	Facility		$532.20	$532.20	$532.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.51 / $742.51 / $742.51	Professional		$742.51	$742.51	$742.51
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 $154.08 / $154.08 / $532.20	Facility		$154.08	$154.08	$532.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $742.51 / $742.51 / $742.51	Professional		$742.51	$742.51	$742.51