Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $1,047.13	Facility		$389.05	$724.44	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $524.81	Professional		$309.03	$467.74	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Facility		$1,230.27	$1,230.27	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81