Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.14 / $344.89 / $493.00	Facility		$190.14	$344.89	$493.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.79 / $180.94	Professional		$5.09	$5.79	$180.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.90 / $709.90 / $709.90	Facility		$709.90	$709.90	$709.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $629.84 / $629.84 / $629.84	Professional		$629.84	$629.84	$629.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $709.90 / $709.90 / $709.90	Facility		$709.90	$709.90	$709.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.84 / $629.84 / $629.84	Professional		$629.84	$629.84	$629.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $199.34 / $221.83	Professional		$175.32	$199.34	$221.83