Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $309.03	Facility		$154.88	$208.93	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $125.89 / $151.36	Professional		$40.74	$125.89	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $302.00	Professional		$117.49	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $87.10	Professional		$50.12	$58.88	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $190.55	Facility		$64.57	$64.57	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $302.00	Professional		$162.18	$302.00	$302.00