Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,393.37 / $2,796.85 / $4,511.22	Facility		$2,393.37	$2,796.85	$4,511.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.55 / $2,365.10 / $3,802.52	Professional		$1,805.55	$2,365.10	$3,802.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,582.00 / $7,567.11 / $7,567.11	Professional		$1,582.00	$7,567.11	$7,567.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,765.00 / $4,765.00 / $4,765.00	Facility		$4,765.00	$4,765.00	$4,765.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,774.26 / $7,567.11 / $7,567.11	Professional		$2,774.26	$7,567.11	$7,567.11