Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,981.07	Professional		$2,238.72	$2,884.03	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $5,011.87	Facility		$3,090.30	$5,011.87	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $9,120.11	Professional		$3,715.35	$9,120.11	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,949.84	Professional		$851.14	$1,023.29	$1,949.84