Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.56 / $526.52 / $849.25	Facility		$450.56	$526.52	$849.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $412.50 / $861.89	Professional		$326.75	$412.50	$861.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $1,428.00 / $1,428.00	Professional		$268.00	$1,428.00	$1,428.00
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 $3,888.70 / $3,888.70 / $3,888.70	Facility		$3,888.70	$3,888.70	$3,888.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $551.80 / $1,428.00 / $1,428.00	Professional		$551.80	$1,428.00	$1,428.00