Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $3,630.78	Professional		$562.34	$691.83	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $10,471.29 / $10,471.29	Professional		$977.24	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,585.78 / $7,585.78	Facility		$5,128.61	$7,585.78	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $10,471.29 / $10,471.29	Professional		$6,760.83	$10,471.29	$10,471.29