Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $985.09 / $1,553.99	Facility		$866.88	$985.09	$1,553.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.86 / $1,126.98 / $1,280.66	Professional		$502.86	$1,126.98	$1,280.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $1,703.26 / $1,703.26	Professional		$525.00	$1,703.26	$1,703.26
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 $863.43 / $1,703.26 / $1,703.26	Professional		$863.43	$1,703.26	$1,703.26