Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.17 / $1,922.99 / $2,725.54	Facility		$1,051.17	$1,922.99	$2,725.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.26 / $1,170.86 / $1,330.54	Professional		$824.26	$1,170.86	$1,330.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.42 / $785.50 / $1,071.29	Facility		$658.42	$785.50	$1,071.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $1,178.25	Professional		$889.25	$889.25	$1,178.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Professional		$65.00	$65.00	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,966.62 / $4,966.62 / $4,966.62	Facility		$4,966.62	$4,966.62	$4,966.62
United Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $1,217.56	Professional		$889.25	$889.25	$1,217.56