Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $724.44 / $831.76	Professional		$309.03	$724.44	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,445.44 / $1,445.44	Professional		$478.63	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $1,445.44	Professional		$776.25	$1,445.44	$1,445.44