Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.18 / $264.31 / $426.32	Facility		$226.18	$264.31	$426.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $200.43 / $361.12	Professional		$100.78	$200.43	$361.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $373.91 / $373.91	Professional		$135.00	$373.91	$373.91
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 $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 $139.19 / $244.69 / $373.91	Professional		$139.19	$244.69	$373.91