Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.27 / $444.38 / $716.77	Facility		$380.27	$444.38	$716.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $286.88 / $688.25	Professional		$117.61	$286.88	$688.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $615.83 / $615.83	Professional		$156.00	$615.83	$615.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $409.80 / $615.83	Professional		$172.70	$409.80	$615.83