Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $1,202.26	Facility		$645.65	$741.31	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $645.65 / $741.31	Professional		$295.12	$645.65	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $602.56	Facility		$371.54	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,122.02 / $1,122.02	Professional		$446.68	$1,122.02	$1,122.02