Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Facility		$602.56	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $831.76 / $933.25	Professional		$251.19	$831.76	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,479.11	Facility		$263.03	$263.03	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,479.11	Professional		$1,023.29	$1,479.11	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $758.58	Professional		$218.78	$263.03	$758.58