Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.37 / $816.10 / $1,316.34	Facility		$698.37	$816.10	$1,316.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.96 / $633.08 / $1,263.97	Professional		$438.96	$633.08	$1,263.97
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 $3,619.00 / $3,619.00 / $3,619.00	Professional		$3,619.00	$3,619.00	$3,619.00
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 $811.43 / $3,619.00 / $3,619.00	Professional		$811.43	$3,619.00	$3,619.00