Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $310.64 / $476.54	Facility		$265.83	$310.64	$476.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $122.21 / $312.89	Professional		$107.55	$122.21	$312.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,454.00 / $1,454.00 / $1,454.00	Facility		$1,454.00	$1,454.00	$1,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $465.40 / $465.40	Professional		$231.88	$465.40	$465.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $560.00 / $1,454.00	Facility		$288.00	$560.00	$1,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $323.67 / $465.40	Professional		$133.72	$323.67	$465.40