Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.26 / $806.62 / $1,301.05	Facility		$690.26	$806.62	$1,301.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.87 / $1,247.33 / $1,417.43	Professional		$295.87	$1,247.33	$1,417.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,021.48 / $3,021.48 / $3,021.48	Professional		$3,021.48	$3,021.48	$3,021.48
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 $58,299.50 / $58,299.50 / $58,299.50	Facility		$58,299.50	$58,299.50	$58,299.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,769.47 / $1,769.47 / $3,021.48	Professional		$1,769.47	$1,769.47	$3,021.48