Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.57 / $345.39 / $529.84	Facility		$295.57	$345.39	$529.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.38 / $153.75	Professional		$123.00	$130.38	$153.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.70 / $383.70 / $383.70	Facility		$383.70	$383.70	$383.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $466.06 / $466.06	Professional		$466.06	$466.06	$466.06
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 $115.40 / $115.40 / $383.70	Facility		$115.40	$115.40	$383.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $466.06 / $466.06	Professional		$466.06	$466.06	$466.06