Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.49 / $740.28 / $1,194.05	Facility		$633.49	$740.28	$1,194.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $574.26 / $1,146.55	Professional		$398.18	$574.26	$1,146.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,561.75 / $9,561.75 / $9,561.75	Facility		$9,561.75	$9,561.75	$9,561.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,301.00 / $3,301.00	Professional		$3,301.00	$3,301.00	$3,301.00
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 $9,561.75 / $9,561.75 / $9,561.75	Facility		$9,561.75	$9,561.75	$9,561.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $744.25 / $3,301.00 / $3,301.00	Professional		$744.25	$3,301.00	$3,301.00