Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $617.08 / $995.32	Facility		$528.05	$617.08	$995.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $279.08 / $379.90	Professional		$226.34	$279.08	$379.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.78 / $1,032.78 / $1,032.78	Professional		$1,032.78	$1,032.78	$1,032.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,384.30 / $7,384.30 / $7,384.30	Facility		$7,384.30	$7,384.30	$7,384.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $605.23 / $605.23 / $1,032.78	Professional		$605.23	$605.23	$1,032.78