Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,690.74 / $3,144.35 / $5,071.72	Facility		$2,690.74	$3,144.35	$5,071.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.52 / $900.59 / $1,541.52	Professional		$792.52	$900.59	$1,541.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,015.54 / $3,015.54 / $3,015.54	Facility		$3,015.54	$3,015.54	$3,015.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,961.58 / $4,961.58 / $4,961.58	Professional		$4,961.58	$4,961.58	$4,961.58
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 / $3,015.54 / $3,015.54	Facility		$65.00	$3,015.54	$3,015.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,355.57 / $4,961.58 / $4,961.58	Professional		$2,355.57	$4,961.58	$4,961.58