Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $501.19	Facility		$269.15	$316.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $323.59	Professional		$120.23	$147.91	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $363.08 / $363.08	Facility		$190.55	$363.08	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $645.65 / $645.65	Professional		$288.40	$645.65	$645.65