Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.70 / $1,416.70 / $1,416.70	Facility		$1,416.70	$1,416.70	$1,416.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Professional		$405.00	$405.00	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,416.70 / $1,416.70 / $1,416.70	Facility		$1,416.70	$1,416.70	$1,416.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Professional		$405.00	$405.00	$405.00