Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $238.59 / $376.38	Facility		$209.96	$238.59	$376.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $274.07 / $311.44	Professional		$121.79	$274.07	$311.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $518.29 / $518.29	Professional		$186.00	$518.29	$518.29
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 $291.26 / $518.29 / $518.29	Professional		$291.26	$518.29	$518.29