Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $178.16 / $254.67	Facility		$98.22	$178.16	$254.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $79.26 / $94.96	Professional		$74.78	$79.26	$94.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $132.24 / $132.24	Facility		$132.24	$132.24	$132.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $200.64 / $200.64	Professional		$200.64	$200.64	$200.64
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 $132.24 / $132.24 / $132.24	Facility		$132.24	$132.24	$132.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $200.64 / $200.64	Professional		$200.64	$200.64	$200.64