Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,122.02 / $1,380.38	Professional		$144.54	$1,122.02	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,380.38	Facility		$851.14	$851.14	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Facility		$1,380.38	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $2,818.38	Professional		$1,380.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $263.03	Professional		$79.43	$138.04	$263.03