Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.02 / $1,025.02 / $1,616.99	Facility		$902.02	$1,025.02	$1,616.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.25 / $1,173.68 / $1,333.73	Professional		$523.25	$1,173.68	$1,333.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $1,820.00 / $1,820.00	Professional		$571.00	$1,820.00	$1,820.00
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 $932.58 / $1,820.00 / $1,820.00	Professional		$932.58	$1,820.00	$1,820.00