Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,715.35 / $4,265.80	Professional		$1,621.81	$3,715.35	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $3,467.37	Facility		$2,570.40	$3,467.37	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,585.78 / $7,585.78	Professional		$3,548.13	$7,585.78	$7,585.78