Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,288.25	Facility		$691.83	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $933.25	Professional		$478.63	$549.54	$933.25
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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
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 $812.83 / $3,630.78 / $3,630.78	Professional		$812.83	$3,630.78	$3,630.78