Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.27 / $525.30 / $828.69	Facility		$462.27	$525.30	$828.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $600.97 / $682.93	Professional		$268.16	$600.97	$682.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $1,969.00 / $1,969.00	Professional		$469.00	$1,969.00	$1,969.00
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 $1,340.15 / $1,340.15 / $1,340.15	Facility		$1,340.15	$1,340.15	$1,340.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.65 / $1,969.00 / $1,969.00	Professional		$772.65	$1,969.00	$1,969.00