Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $205.34 / $331.21	Facility		$175.72	$205.34	$331.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $260.44 / $295.95	Professional		$132.56	$260.44	$295.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $627.00 / $627.00	Professional		$86.00	$627.00	$627.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $349.00 / $349.00	Facility		$349.00	$349.00	$349.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $627.00 / $627.00	Professional		$272.10	$627.00	$627.00