Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,548.82 / $1,778.28	Professional		$144.54	$1,548.82	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
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 $1,513.56 / $1,995.26 / $1,995.26	Facility		$1,513.56	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $3,311.31	Professional		$1,513.56	$3,311.31	$3,311.31
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 $891.25 / $1,148.15 / $1,348.96	Professional		$891.25	$1,148.15	$1,348.96