Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $307.20 / $484.61	Facility		$270.33	$307.20	$484.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $351.49 / $399.43	Professional		$156.82	$351.49	$399.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $429.80 / $429.80	Professional		$126.00	$429.80	$429.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,035.15 / $1,035.15 / $1,035.15	Facility		$1,035.15	$1,035.15	$1,035.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $429.80 / $429.80	Professional		$236.42	$429.80	$429.80