Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $268.52 / $411.92	Facility		$229.79	$268.52	$411.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $245.97 / $291.62	Professional		$162.22	$245.97	$291.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Professional		$683.00	$683.00	$683.00
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 $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.54 / $683.00 / $683.00	Professional		$303.54	$683.00	$683.00