Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $1,191.89 / $1,238.76	Facility		$438.93	$1,191.89	$1,238.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.50 / $1,411.06 / $2,164.60	Facility		$1,207.50	$1,411.06	$2,164.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $1,181.95 / $1,343.13	Professional		$504.27	$1,181.95	$1,343.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,755.72 / $1,755.72 / $1,755.72	Facility		$1,755.72	$1,755.72	$1,755.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,194.65 / $2,194.65 / $2,194.65	Professional		$2,194.65	$2,194.65	$2,194.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,119.27 / $1,148.58 / $1,785.84	Professional		$1,119.27	$1,148.58	$1,785.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $877.86 / $1,206.82 / $1,755.72	Facility		$877.86	$1,206.82	$1,755.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,755.72 / $2,194.65 / $2,194.65	Professional		$1,755.72	$2,194.65	$2,194.65