Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $325.39 / $499.15	Facility		$278.45	$325.39	$499.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $153.22 / $348.48	Professional		$118.77	$153.22	$348.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $693.25 / $693.25	Professional		$602.00	$693.25	$693.25
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 $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $602.00 / $693.25	Professional		$196.00	$602.00	$693.25