Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Facility		$190.55	$223.87	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $288.40	Professional		$107.15	$251.19	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $426.58 / $426.58	Professional		$131.83	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,047.13	Facility		$707.95	$1,047.13	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $426.58	Professional		$208.93	$426.58	$426.58