Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $512.86 / $831.76	Facility		$446.68	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $588.84	Professional		$162.18	$275.42	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $199.53	Facility		$117.49	$199.53	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
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 $109.65 / $199.53 / $199.53	Facility		$109.65	$199.53	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $239.88	Professional		$109.65	$239.88	$239.88