Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.96 / $636.62 / $910.01	Facility		$350.96	$636.62	$910.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $283.22 / $339.33	Professional		$267.19	$283.22	$339.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,376.10 / $1,376.10 / $1,376.10	Facility		$1,376.10	$1,376.10	$1,376.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $400.80 / $400.80	Professional		$400.80	$400.80	$400.80
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 $1,376.10 / $1,376.10 / $1,376.10	Facility		$1,376.10	$1,376.10	$1,376.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $400.80 / $400.80	Professional		$400.80	$400.80	$400.80