Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,496.59 / $5,254.62 / $8,475.52	Facility		$4,496.59	$5,254.62	$8,475.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,392.20 / $5,777.22 / $7,144.04	Professional		$3,392.20	$5,777.22	$7,144.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,597.00 / $12,122.00 / $12,122.00	Professional		$2,597.00	$12,122.00	$12,122.00
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 $5,661.15 / $5,661.15 / $5,661.15	Professional		$5,661.15	$5,661.15	$5,661.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,533.64 / $6,533.64 / $6,533.64	Facility		$6,533.64	$6,533.64	$6,533.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,461.20 / $12,122.00 / $12,122.00	Professional		$6,461.20	$12,122.00	$12,122.00