Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.82 / $300.11 / $484.07	Facility		$256.82	$300.11	$484.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $666.93 / $850.64	Professional		$193.74	$666.93	$850.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $913.33 / $913.33	Professional		$233.00	$913.33	$913.33
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 $3,217.55 / $3,217.55 / $3,217.55	Facility		$3,217.55	$3,217.55	$3,217.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.03 / $913.33 / $913.33	Professional		$443.03	$913.33	$913.33