Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.02 / $489.66 / $789.80	Facility		$419.02	$489.66	$789.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $184.84 / $221.46	Professional		$174.38	$184.84	$221.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.60 / $301.60 / $301.60	Facility		$301.60	$301.60	$301.60
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 $301.60 / $301.60 / $301.60	Facility		$301.60	$301.60	$301.60