Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,223.51 / $4,033.26 / $5,765.28	Facility		$2,223.51	$4,033.26	$5,765.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.75 / $2,396.26 / $2,723.03	Professional		$1,692.75	$2,396.26	$2,723.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,230.90 / $8,230.90 / $8,230.90	Facility		$8,230.90	$8,230.90	$8,230.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,445.49 / $8,445.49 / $8,445.49	Professional		$8,445.49	$8,445.49	$8,445.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,230.90 / $8,230.90 / $8,230.90	Facility		$8,230.90	$8,230.90	$8,230.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,445.49 / $8,445.49 / $8,445.49	Professional		$8,445.49	$8,445.49	$8,445.49