Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.25 / $423.32 / $562.62	Facility		$362.25	$423.32	$562.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $467.01 / $530.69	Professional		$255.02	$467.01	$530.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.72 / $477.72 / $477.72	Facility		$477.72	$477.72	$477.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.55 / $684.55 / $684.55	Professional		$684.55	$684.55	$684.55
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 $178.00 / $477.72 / $477.72	Facility		$178.00	$477.72	$477.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $381.83 / $684.55 / $684.55	Professional		$381.83	$684.55	$684.55