Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $977.24	Facility		$524.81	$616.60	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $275.42	Professional		$194.98	$245.47	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Facility		$263.03	$263.03	$363.08