Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $80.03 / $122.77	Facility		$68.48	$80.03	$122.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $72.26 / $82.11	Professional		$49.67	$72.26	$82.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Professional		$152.16	$152.16	$152.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $100.00 / $100.00	Facility		$37.35	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $152.16 / $152.16	Professional		$87.37	$152.16	$152.16