Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,336.30 / $2,155.40	Facility		$1,143.52	$1,336.30	$2,155.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.82 / $1,636.77 / $1,859.96	Professional		$539.82	$1,636.77	$1,859.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,221.85 / $1,221.85 / $1,221.85	Facility		$1,221.85	$1,221.85	$1,221.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,010.38 / $2,010.38 / $2,010.38	Professional		$2,010.38	$2,010.38	$2,010.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $58.40 / $70.00	Professional		$16.48	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,221.85 / $1,221.85	Facility		$65.00	$1,221.85	$1,221.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $2,010.38 / $2,010.38	Professional		$1,000.93	$2,010.38	$2,010.38