Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $20.03 / $22.76	Professional		$13.07	$20.03	$22.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $145.00 / $145.00	Facility		$85.00	$145.00	$145.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00
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 $10.35 / $145.00 / $145.00	Facility		$10.35	$145.00	$145.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $248.00 / $248.00	Professional		$120.21	$248.00	$248.00