Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $758.58	Professional		$275.42	$660.69	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
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 $302.00 / $758.58 / $758.58	Facility		$302.00	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,174.90	Professional		$741.31	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $275.42	Professional		$165.96	$177.83	$275.42