Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $197.04 / $496.00	Professional		$50.43	$197.04	$496.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $382.70 / $382.70 / $382.70	Facility		$382.70	$382.70	$382.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $173.12 / $525.23	Professional		$103.67	$173.12	$525.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $382.70	Facility		$65.00	$70.00	$382.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $228.57 / $228.57	Professional		$99.89	$228.57	$228.57