Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.89 / $1,119.36 / $1,805.51	Facility		$957.89	$1,119.36	$1,805.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.63 / $1,300.83 / $1,529.38	Professional		$722.63	$1,300.83	$1,529.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $4,230.00 / $4,230.00	Professional		$720.00	$4,230.00	$4,230.00
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 $7,459.40 / $7,459.40 / $7,459.40	Facility		$7,459.40	$7,459.40	$7,459.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,352.57 / $4,230.00 / $4,230.00	Professional		$1,352.57	$4,230.00	$4,230.00