Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $4,786.30	Professional		$1,995.26	$4,168.69	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $8,317.64 / $8,317.64	Professional		$1,513.56	$8,317.64	$8,317.64
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 Facility Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $4,073.80	Facility		$3,019.95	$4,073.80	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $8,317.64	Professional		$4,168.69	$8,317.64	$8,317.64