Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,023.29 / $1,174.90	Professional		$446.68	$1,023.29	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
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 $676.08 / $4,168.69 / $4,168.69	Facility		$676.08	$4,168.69	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,513.56	Professional		$1,096.48	$1,513.56	$1,513.56
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 $239.88 / $331.13 / $457.09	Professional		$239.88	$331.13	$457.09