Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.54 / $707.64 / $940.51	Facility		$605.54	$707.64	$940.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $636.28 / $723.05	Professional		$267.12	$636.28	$723.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $19,841.28 / $19,841.28 / $19,841.28	Facility		$19,841.28	$19,841.28	$19,841.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,762.65 / $3,762.65 / $3,762.65	Professional		$3,762.65	$3,762.65	$3,762.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $19,841.28 / $19,841.28	Facility		$290.16	$19,841.28	$19,841.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,762.65 / $3,762.65 / $3,762.65	Professional		$3,762.65	$3,762.65	$3,762.65