Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $465.44 / $714.00	Facility		$398.30	$465.44	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.06 / $379.40 / $547.53	Professional		$290.06	$379.40	$547.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.40 / $659.40 / $659.40	Professional		$659.40	$659.40	$659.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $311.00 / $311.00	Facility		$311.00	$311.00	$311.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $314.22 / $659.40	Professional		$260.64	$314.22	$659.40