Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $257.04	Facility		$95.50	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $131.83	Professional		$72.44	$114.82	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $602.56	Facility		$478.63	$478.63	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $117.49	Professional		$74.13	$95.50	$117.49