Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.85 / $1,222.31 / $1,747.21	Facility		$673.85	$1,222.31	$1,747.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $839.51 / $953.99	Professional		$513.00	$839.51	$953.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,134.50 / $2,134.50 / $2,134.50	Facility		$2,134.50	$2,134.50	$2,134.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.20 / $2,166.00 / $2,166.00	Professional		$604.20	$2,166.00	$2,166.00
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 Professional Modifier Low / Median / High Price $983.63 / $983.63 / $1,083.93	Professional		$983.63	$983.63	$1,083.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,134.50 / $2,134.50 / $2,134.50	Facility		$2,134.50	$2,134.50	$2,134.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $2,166.00 / $2,166.00	Professional		$513.00	$2,166.00	$2,166.00