Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $4,677.35	Professional		$2,398.83	$4,073.80	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $9,332.54 / $9,332.54	Professional		$2,187.76	$9,332.54	$9,332.54
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 $46,773.51 / $70,794.58 / $70,794.58	Facility		$46,773.51	$70,794.58	$70,794.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,332.54 / $9,332.54	Professional		$5,623.41	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $17,782.79 / $19,498.45	Facility		$16,982.44	$17,782.79	$19,498.45