Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $483.00	Facility		$269.43	$314.86	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $139.33 / $353.93	Professional		$118.77	$139.33	$353.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $653.00 / $653.00	Professional		$653.00	$653.00	$653.00
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 $220.06 / $220.06 / $220.06	Facility		$220.06	$220.06	$220.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $285.75 / $653.00	Professional		$156.78	$285.75	$653.00