Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,342.91 / $2,737.88 / $4,416.10	Facility		$2,342.91	$2,737.88	$4,416.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.48 / $3,679.74 / $4,181.53	Professional		$1,767.48	$3,679.74	$4,181.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,459.78 / $3,459.78 / $3,459.78	Facility		$3,459.78	$3,459.78	$3,459.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,624.00 / $7,624.00 / $7,624.00	Professional		$7,624.00	$7,624.00	$7,624.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,205.63 / $4,205.63 / $4,205.63	Professional		$4,205.63	$4,205.63	$4,205.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,459.78 / $3,459.78 / $3,459.78	Facility		$3,459.78	$3,459.78	$3,459.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,526.63 / $7,624.00 / $7,624.00	Professional		$3,526.63	$7,624.00	$7,624.00