Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $341.95 / $388.58	Professional		$341.95	$341.95	$388.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $471.24 / $471.24	Professional		$471.24	$471.24	$471.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $351.35 / $351.35 / $351.35	Facility		$351.35	$351.35	$351.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $471.24	Professional		$1.97	$1.97	$471.24