Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $416.87	Facility		$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $190.55	Professional		$87.10	$141.25	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $371.54	Professional		$223.87	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,288.25 / $1,288.25	Facility		$257.04	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $371.54	Professional		$245.47	$371.54	$371.54