Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.56 / $430.69 / $660.69	Facility		$368.56	$430.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $306.30 / $553.60	Professional		$157.88	$306.30	$553.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,157.05 / $1,157.05	Professional		$1,017.00	$1,157.05	$1,157.05
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 $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $1,017.00 / $1,157.05	Professional		$221.43	$1,017.00	$1,157.05