Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.59 / $1,051.59 / $1,051.59	Facility		$1,051.59	$1,051.59	$1,051.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $1,083.15	Professional		$893.86	$893.86	$1,083.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.84 / $590.84 / $590.84	Facility		$590.84	$590.84	$590.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $590.84 / $1,051.59	Facility		$65.00	$590.84	$1,051.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $1,051.59 / $1,051.59	Professional		$893.86	$1,051.59	$1,051.59