Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,297.86 / $2,685.23 / $4,331.18	Facility		$2,297.86	$2,685.23	$4,331.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.49 / $3,222.65 / $3,662.10	Professional		$1,733.49	$3,222.65	$3,662.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $18,009.95 / $18,009.95 / $18,009.95	Facility		$18,009.95	$18,009.95	$18,009.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,677.33 / $6,677.33 / $6,677.33	Professional		$6,677.33	$6,677.33	$6,677.33
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 $18,009.95 / $18,009.95 / $18,009.95	Facility		$18,009.95	$18,009.95	$18,009.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,461.63 / $6,677.33 / $6,677.33	Professional		$3,461.63	$6,677.33	$6,677.33