Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,988.11 / $3,491.85 / $5,632.23	Facility		$2,988.11	$3,491.85	$5,632.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,254.21 / $3,896.49 / $4,770.85	Professional		$2,254.21	$3,896.49	$4,770.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,610.00 / $13,636.00 / $13,636.00	Professional		$2,610.00	$13,636.00	$13,636.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,664.43 / $4,664.43 / $4,664.43	Facility		$4,664.43	$4,664.43	$4,664.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,315.52 / $13,636.00 / $13,636.00	Professional		$5,315.52	$13,636.00	$13,636.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,789.00 / $16,895.00 / $17,317.00	Facility		$6,789.00	$16,895.00	$17,317.00