Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $186.21	Professional		$100.00	$151.36	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $776.25	Facility		$416.87	$489.78	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $309.03	Professional		$173.78	$275.42	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $87.10	Professional		$50.12	$58.88	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Facility		$181.97	$181.97	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83