Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $2,818.38	Facility		$1,047.13	$1,905.46	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,348.96	Professional		$794.33	$1,071.52	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $1,071.52	Facility		$660.69	$794.33	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,174.90	Professional		$891.25	$891.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,025.60 / $6,025.60	Facility		$2,884.03	$6,025.60	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25