Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $354.81	Facility		$186.21	$218.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $165.96	Professional		$109.65	$131.83	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
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 $165.96 / $165.96 / $512.86	Facility		$165.96	$165.96	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $512.86	Professional		$371.54	$512.86	$512.86