Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $831.76	Professional		$436.52	$489.78	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
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 $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,311.31 / $3,311.31	Professional		$741.31	$3,311.31	$3,311.31