Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $7,079.46	Professional		$2,951.21	$6,309.57	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
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 $4,466.84 / $6,165.95 / $6,165.95	Facility		$4,466.84	$6,165.95	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,120.11 / $9,120.11	Professional		$6,309.57	$9,120.11	$9,120.11
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 $1,548.82 / $1,737.80 / $2,951.21	Professional		$1,548.82	$1,737.80	$2,951.21