Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.73 / $311.70 / $414.27	Facility		$266.73	$311.70	$414.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $356.08 / $404.64	Professional		$187.78	$356.08	$404.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.92 / $621.92 / $621.92	Facility		$621.92	$621.92	$621.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.23 / $875.23 / $875.23	Professional		$875.23	$875.23	$875.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $621.92 / $621.92	Facility		$212.36	$621.92	$621.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $552.55 / $875.23 / $875.23	Professional		$552.55	$875.23	$875.23