Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,588.27 / $1,650.72	Facility		$584.90	$1,588.27	$1,650.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,609.40 / $1,880.71 / $2,885.06	Facility		$1,609.40	$1,880.71	$2,885.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $1,575.02 / $1,789.80	Professional		$671.95	$1,575.02	$1,789.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,339.60 / $2,339.60 / $2,339.60	Facility		$2,339.60	$2,339.60	$2,339.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $2,924.50	Professional		$2,924.50	$2,924.50	$2,924.50
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 $1,491.50 / $1,523.01 / $2,379.73	Professional		$1,491.50	$1,523.01	$2,379.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,508.52 / $2,339.60	Facility		$1,169.80	$1,508.52	$2,339.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,339.60 / $2,924.50 / $2,924.50	Professional		$2,339.60	$2,924.50	$2,924.50
United Facility/Professional Facility Modifier Low / Median / High Price $292.45 / $441.28 / $467.92	Facility		$292.45	$441.28	$467.92