Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $173.92 / $246.50	Facility		$95.07	$173.92	$246.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $112.76 / $128.13	Professional		$72.38	$112.76	$128.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.90 / $603.90 / $603.90	Facility		$603.90	$603.90	$603.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $295.68 / $295.68	Professional		$295.68	$295.68	$295.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $483.12 / $603.90 / $603.90	Facility		$483.12	$603.90	$603.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $295.68 / $295.68	Professional		$295.68	$295.68	$295.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $99.96 / $99.96	Professional		$74.09	$99.96	$99.96