Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.21 / $1,041.45 / $1,679.82	Facility		$891.21	$1,041.45	$1,679.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.88 / $554.41 / $630.03	Professional		$370.88	$554.41	$630.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,110.46 / $2,110.46 / $2,110.46	Professional		$2,110.46	$2,110.46	$2,110.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,528.40 / $16,528.40 / $16,528.40	Facility		$16,528.40	$16,528.40	$16,528.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $699.68 / $935.11 / $2,110.46	Professional		$699.68	$935.11	$2,110.46