Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $10,232.93	Facility		$3,801.89	$6,918.31	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,630.78	Professional		$2,884.03	$3,235.94	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $13,803.84	Facility		$10,964.78	$10,964.78	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28