Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Facility		$1,230.27	$1,445.44	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $870.96	Professional		$512.86	$630.96	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,288.25	Professional		$724.44	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $17,782.79 / $19,498.45	Facility		$16,982.44	$17,782.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82