Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $575.44	Facility		$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $281.84	Professional		$162.18	$245.47	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $645.65	Facility		$151.36	$251.19	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $263.03 / $707.95	Professional		$83.18	$263.03	$707.95
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 $213.80 / $676.08 / $676.08	Facility		$213.80	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Professional		$575.44	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $162.18	Professional		$60.26	$91.20	$162.18