Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $416.87	Facility		$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $338.84 / $380.19	Professional		$131.83	$338.84	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $489.78	Facility		$199.53	$489.78	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $436.52	Professional		$234.42	$436.52	$436.52