Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $181.74	Facility		$96.42	$112.67	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $98.31 / $111.71	Professional		$45.52	$98.31	$111.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $122.82 / $122.82	Professional		$122.82	$122.82	$122.82
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 Facility Modifier Low / Median / High Price $70.00 / $90.00 / $90.00	Facility		$70.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $122.82 / $122.82	Professional		$63.51	$122.82	$122.82