Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.37 / $99.37 / $120.59	Facility		$99.37	$99.37	$120.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $34.17 / $50.27	Professional		$15.87	$34.17	$50.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $268.88 / $268.88	Professional		$183.00	$268.88	$268.88
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 Professional Modifier Low / Median / High Price $41.06 / $70.14 / $268.88	Professional		$41.06	$70.14	$268.88