Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.33 / $396.33 / $450.38	Professional		$396.33	$396.33	$450.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $874.90 / $874.90 / $874.90	Professional		$874.90	$874.90	$874.90
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 $788.70 / $788.70 / $788.70	Facility		$788.70	$788.70	$788.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.39 / $512.39 / $874.90	Professional		$383.39	$512.39	$874.90
United Facility/Professional Professional Modifier Low / Median / High Price $147.03 / $147.03 / $159.28	Professional		$147.03	$147.03	$159.28