Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.54 / $444.54 / $444.54	Facility		$444.54	$444.54	$444.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.96 / $967.96 / $967.96	Professional		$967.96	$967.96	$967.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.97 / $372.97 / $372.97	Facility		$372.97	$372.97	$372.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $45.50 / $45.50	Professional		$45.50	$45.50	$45.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $372.97	Facility		$65.00	$65.00	$372.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $967.96 / $967.96 / $967.96	Professional		$967.96	$967.96	$967.96