Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $752.92 / $1,214.43	Facility		$644.29	$752.92	$1,214.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.06 / $1,007.23 / $1,144.58	Professional		$486.06	$1,007.23	$1,144.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,137.00 / $4,137.00 / $4,137.00	Facility		$4,137.00	$4,137.00	$4,137.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,525.77 / $1,525.77 / $1,525.77	Professional		$1,525.77	$1,525.77	$1,525.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,137.00 / $4,137.00 / $4,137.00	Facility		$4,137.00	$4,137.00	$4,137.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,095.75 / $1,525.77 / $1,525.77	Professional		$1,095.75	$1,525.77	$1,525.77
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $258.27 / $546.36	Professional		$168.90	$258.27	$546.36