Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $15,135.61	Facility		$7,943.28	$9,332.54	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $9,120.11	Professional		$3,715.35	$7,943.28	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,585.78	Professional		$5,754.40	$5,754.40	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $7,079.46	Facility		$4,365.16	$7,079.46	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $13,182.57 / $13,182.57	Professional		$5,248.07	$13,182.57	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,884.03	Professional		$1,230.27	$1,737.80	$2,884.03