Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,708.11 / $4,333.22 / $6,989.33	Facility		$3,708.11	$4,333.22	$6,989.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,797.38 / $5,221.14 / $5,933.11	Professional		$2,797.38	$5,221.14	$5,933.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,661.36 / $5,661.36 / $5,661.36	Facility		$5,661.36	$5,661.36	$5,661.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,378.98 / $7,378.98 / $7,378.98	Professional		$7,378.98	$7,378.98	$7,378.98
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 $5,661.36 / $5,661.36 / $5,661.36	Facility		$5,661.36	$5,661.36	$5,661.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,204.02 / $7,378.98 / $7,378.98	Professional		$5,204.02	$7,378.98	$7,378.98