Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $408.58 / $543.03	Facility		$349.63	$408.58	$543.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $1,516.96 / $1,723.81	Professional		$154.22	$1,516.96	$1,723.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,015.58 / $2,015.58 / $2,015.58	Facility		$2,015.58	$2,015.58	$2,015.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,048.26 / $3,048.26 / $3,048.26	Professional		$3,048.26	$3,048.26	$3,048.26
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 Facility Modifier Low / Median / High Price $881.82 / $2,015.58 / $2,015.58	Facility		$881.82	$2,015.58	$2,015.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,505.46 / $3,048.26 / $3,048.26	Professional		$1,505.46	$3,048.26	$3,048.26