Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $624.64 / $985.38	Facility		$549.67	$624.64	$985.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.86 / $714.04 / $811.41	Professional		$318.86	$714.04	$811.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $1,429.00 / $1,429.00	Professional		$474.00	$1,429.00	$1,429.00
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 $3,616.95 / $3,616.95 / $3,616.95	Facility		$3,616.95	$3,616.95	$3,616.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $780.22 / $1,429.00 / $1,429.00	Professional		$780.22	$1,429.00	$1,429.00