Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,447.47 / $1,644.85 / $2,156.73	Facility		$1,447.47	$1,644.85	$2,156.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,763.60 / $2,004.09	Professional		$977.57	$1,763.60	$2,004.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,771.52 / $2,771.52 / $2,771.52	Facility		$2,771.52	$2,771.52	$2,771.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,772.97 / $3,772.97 / $3,772.97	Professional		$3,772.97	$3,772.97	$3,772.97
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 $65.00 / $2,771.52 / $2,771.52	Facility		$65.00	$2,771.52	$2,771.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,390.77 / $3,772.97 / $3,772.97	Professional		$2,390.77	$3,772.97	$3,772.97