Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $366.45 / $562.15	Facility		$313.58	$366.45	$562.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $304.89 / $473.51	Professional		$175.53	$304.89	$473.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,297.00 / $1,297.00	Professional		$1,297.00	$1,297.00	$1,297.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,922.50 / $2,922.50 / $2,922.50	Facility		$2,922.50	$2,922.50	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $1,297.00 / $1,297.00	Professional		$220.07	$1,297.00	$1,297.00