Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $772.50 / $2,106.06	Facility		$750.00	$772.50	$2,106.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,911.50	Professional		$750.00	$750.00	$1,911.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $874.27 / $1,316.99 / $2,711.40	Professional		$874.27	$1,316.99	$2,711.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $714.75 / $714.75 / $714.75	Professional		$714.75	$714.75	$714.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,104.64 / $4,104.64 / $4,104.64	Facility		$4,104.64	$4,104.64	$4,104.64
United Facility/Professional Professional Modifier Low / Median / High Price $837.24 / $1,316.99 / $2,711.40	Professional		$837.24	$1,316.99	$2,711.40