Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.45 / $1,550.06 / $2,500.19	Facility		$1,326.45	$1,550.06	$2,500.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.67 / $1,460.91 / $2,107.42	Professional		$1,000.67	$1,460.91	$2,107.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $2,962.34 / $2,962.34	Professional		$555.00	$2,962.34	$2,962.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,461.44 / $1,461.44 / $1,461.44	Professional		$1,461.44	$1,461.44	$1,461.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,537.60 / $15,537.60 / $15,537.60	Facility		$15,537.60	$15,537.60	$15,537.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,761.34 / $2,962.34 / $2,962.34	Professional		$1,761.34	$2,962.34	$2,962.34