Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $542.72 / $856.15	Facility		$477.59	$542.72	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.04 / $621.87 / $706.68	Professional		$277.04	$621.87	$706.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $850.15 / $850.15	Professional		$304.00	$850.15	$850.15
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 $497.09 / $850.15 / $850.15	Professional		$497.09	$850.15	$850.15