Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $389.05	Facility		$208.93	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $316.23	Professional		$117.49	$281.84	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $512.86 / $512.86	Professional		$186.21	$512.86	$512.86
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 $288.40 / $512.86 / $512.86	Professional		$288.40	$512.86	$512.86