Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.45 / $612.86 / $940.15	Facility		$524.45	$612.86	$940.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $207.10 / $244.22	Professional		$195.38	$207.10	$244.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.15 / $360.15 / $360.15	Facility		$360.15	$360.15	$360.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $261.68 / $360.15	Facility		$60.00	$261.68	$360.15