Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.44 / $2,295.61 / $3,521.52	Facility		$1,964.44	$2,295.61	$3,521.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.50 / $1,310.93 / $1,489.69	Professional		$817.50	$1,310.93	$1,489.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.60 / $1,065.60 / $1,065.60	Facility		$1,065.60	$1,065.60	$1,065.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.79 / $2,137.79 / $2,137.79	Professional		$2,137.79	$2,137.79	$2,137.79
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 $881.88 / $881.88 / $1,065.60	Facility		$881.88	$881.88	$1,065.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.79 / $2,137.79 / $2,137.79	Professional		$2,137.79	$2,137.79	$2,137.79