Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $217.09 / $342.46	Facility		$191.04	$217.09	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $248.26 / $282.11	Professional		$110.82	$248.26	$282.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $425.14 / $425.14	Professional		$132.00	$425.14	$425.14
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 $207.89 / $425.14 / $425.14	Professional		$207.89	$425.14	$425.14