Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $582.33 / $939.27	Facility		$498.32	$582.33	$939.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $451.73 / $901.91	Professional		$313.22	$451.73	$901.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,404.55 / $2,404.55 / $2,404.55	Facility		$2,404.55	$2,404.55	$2,404.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.41 / $956.41 / $956.41	Professional		$956.41	$956.41	$956.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,404.55 / $2,404.55 / $2,404.55	Facility		$2,404.55	$2,404.55	$2,404.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.22 / $956.41 / $956.41	Professional		$562.22	$956.41	$956.41