Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $398.11	Professional		$346.74	$346.74	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $354.81	Facility		$64.57	$64.57	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $467.74 / $467.74	Professional		$1.95	$467.74	$467.74