Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.46 / $431.74 / $573.82	Facility		$369.46	$431.74	$573.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $484.04 / $550.04	Professional		$260.08	$484.04	$550.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.90 / $1,069.90 / $1,069.90	Facility		$1,069.90	$1,069.90	$1,069.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.67 / $1,069.90 / $1,069.90	Facility		$171.67	$1,069.90	$1,069.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $876.00 / $876.00	Professional		$400.00	$876.00	$876.00
United Facility/Professional Facility Modifier Low / Median / High Price $173.54 / $173.54 / $173.54	Facility		$173.54	$173.54	$173.54