Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.72 / $396.99 / $527.64	Facility		$339.72	$396.99	$527.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $149.86 / $179.55	Professional		$141.38	$149.86	$179.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Facility		$423.00	$423.00	$423.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.46 / $583.46 / $583.46	Professional		$583.46	$583.46	$583.46
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 $121.61 / $121.61 / $423.00	Facility		$121.61	$121.61	$423.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $583.46 / $583.46 / $583.46	Professional		$583.46	$583.46	$583.46