Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $247.98	Facility		$131.56	$153.74	$247.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $251.67 / $336.35	Professional		$99.25	$251.67	$336.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $465.00 / $465.00	Professional		$37.00	$465.00	$465.00
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 $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $465.00 / $465.00	Professional		$199.60	$465.00	$465.00