Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,208.22 / $4,917.64 / $7,543.80	Facility		$4,208.22	$4,917.64	$7,543.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,174.67 / $6,146.81 / $6,985.01	Professional		$3,174.67	$6,146.81	$6,985.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,115.20 / $9,115.20 / $9,115.20	Professional		$9,115.20	$9,115.20	$9,115.20
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 Facility Modifier Low / Median / High Price $6,131.82 / $6,131.82 / $6,131.82	Facility		$6,131.82	$6,131.82	$6,131.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,369.10 / $9,115.20 / $9,115.20	Professional		$6,369.10	$9,115.20	$9,115.20