Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $142.16 / $218.08	Facility		$121.65	$142.16	$218.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $188.28 / $230.43	Professional		$91.77	$188.28	$230.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00
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 $166.41 / $494.84 / $876.00	Professional		$166.41	$494.84	$876.00