Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,467.37 / $5,623.41	Facility		$3,019.95	$3,467.37	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $4,466.84	Professional		$1,862.09	$3,981.07	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $13,489.63 / $13,489.63	Professional		$2,630.27	$13,489.63	$13,489.63
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 $3,162.28 / $4,677.35 / $4,677.35	Facility		$3,162.28	$4,677.35	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $13,489.63 / $13,489.63	Professional		$5,370.32	$13,489.63	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $17,782.79 / $19,498.45	Facility		$16,982.44	$17,782.79	$19,498.45