Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.33 / $592.86 / $787.95	Facility		$507.33	$592.86	$787.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.15 / $661.20 / $751.36	Professional		$357.15	$661.20	$751.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.29 / $627.29 / $627.29	Facility		$627.29	$627.29	$627.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $893.86	Professional		$893.86	$893.86	$893.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $627.29 / $627.29	Facility		$402.32	$627.29	$627.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $471.26 / $893.86 / $893.86	Professional		$471.26	$893.86	$893.86