Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,874.57 / $3,359.17 / $5,153.05	Facility		$2,874.57	$3,359.17	$5,153.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.56 / $3,852.86 / $4,378.25	Professional		$2,168.56	$3,852.86	$4,378.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,309.74 / $7,309.74 / $7,309.74	Professional		$7,309.74	$7,309.74	$7,309.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.45 / $4,466.45 / $4,466.45	Facility		$4,466.45	$4,466.45	$4,466.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,936.75 / $7,309.74 / $7,309.74	Professional		$3,936.75	$7,309.74	$7,309.74