Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.43 / $1,031.17 / $1,626.68	Facility		$907.43	$1,031.17	$1,626.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $1,177.35 / $1,337.91	Professional		$526.38	$1,177.35	$1,337.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $1,654.48 / $1,654.48	Professional		$492.00	$1,654.48	$1,654.48
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 $809.72 / $1,654.48 / $1,654.48	Professional		$809.72	$1,654.48	$1,654.48