Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $773.98 / $1,248.40	Facility		$662.32	$773.98	$1,248.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.69 / $606.38 / $1,057.47	Professional		$363.69	$606.38	$1,057.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $1,145.76 / $1,145.76	Professional		$384.00	$1,145.76	$1,145.76
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 $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.14 / $877.28 / $1,145.76	Professional		$534.14	$877.28	$1,145.76