Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,570.88	Facility		$2,454.71	$2,818.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $1,023.29 / $1,258.93	Professional		$66.07	$1,023.29	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Facility		$1,318.26	$1,318.26	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $6,025.60	Facility		$1,949.84	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $6,025.60	Professional		$1,949.84	$6,025.60	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $138.04	Professional		$35.48	$70.79	$138.04