Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.98 / $830.84 / $1,340.12	Facility		$710.98	$830.84	$1,340.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $709.51 / $806.26	Professional		$335.63	$709.51	$806.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,120.53 / $1,120.53 / $1,120.53	Facility		$1,120.53	$1,120.53	$1,120.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.73 / $963.73 / $963.73	Professional		$963.73	$963.73	$963.73
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 Professional Modifier Low / Median / High Price $540.07 / $540.07 / $594.08	Professional		$540.07	$540.07	$594.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,120.53 / $1,120.53 / $1,120.53	Facility		$1,120.53	$1,120.53	$1,120.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.38 / $963.73 / $963.73	Professional		$498.38	$963.73	$963.73