Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.90 / $565.48 / $912.09	Facility		$483.90	$565.48	$912.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $386.57 / $772.60	Professional		$275.68	$386.57	$772.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $1,438.25 / $1,438.25	Professional		$460.00	$1,438.25	$1,438.25
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 $1,697.00 / $1,697.00 / $1,697.00	Facility		$1,697.00	$1,697.00	$1,697.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $821.32 / $1,438.25 / $1,438.25	Professional		$821.32	$1,438.25	$1,438.25