Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $489.78 / $562.34	Professional		$213.80	$489.78	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,071.52 / $1,071.52	Facility		$309.03	$1,071.52	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $870.96	Professional		$398.11	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $204.17	Professional		$131.83	$144.54	$204.17