Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $292.74 / $472.18	Facility		$250.51	$292.74	$472.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $127.01 / $172.15	Professional		$87.00	$127.01	$172.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.88 / $392.88 / $392.88	Professional		$392.88	$392.88	$392.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $252.90 / $252.90	Facility		$252.90	$252.90	$252.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $230.11 / $392.88	Professional		$172.18	$230.11	$392.88