Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $79.43 / $128.82	Facility		$69.18	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $87.10	Professional		$45.71	$74.13	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $70.79 / $100.00 / $100.00	Facility		$70.79	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $151.36	Professional		$87.10	$151.36	$151.36