Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $150.58 / $231.00	Facility		$128.86	$150.58	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $75.98 / $86.34	Professional		$53.63	$75.98	$86.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.12 / $105.12 / $128.54	Facility		$105.12	$105.12	$128.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.34 / $251.34 / $251.34	Professional		$251.34	$251.34	$251.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $105.12 / $128.54	Facility		$81.62	$105.12	$128.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $123.86 / $251.34	Professional		$102.74	$123.86	$251.34