Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,621.81	Facility		$870.96	$1,023.29	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,318.26	Professional		$489.78	$1,148.15	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,698.24 / $1,698.24	Professional		$524.81	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $1,698.24	Professional		$870.96	$1,698.24	$1,698.24