Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,173.26 / $1,371.05 / $2,103.21	Facility		$1,173.26	$1,371.05	$2,103.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.25 / $722.73 / $821.29	Professional		$488.25	$722.73	$821.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,864.98 / $1,864.98 / $1,864.98	Professional		$1,864.98	$1,864.98	$1,864.98
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 $619.28 / $619.28 / $619.28	Facility		$619.28	$619.28	$619.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.13 / $1,864.98 / $1,864.98	Professional		$1,092.13	$1,864.98	$1,864.98