Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $467.74	Facility		$251.19	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $173.78	Professional		$87.10	$128.82	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
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 $229.09 / $251.19 / $251.19	Facility		$229.09	$251.19	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $407.38	Professional		$229.09	$407.38	$407.38
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 $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62