Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $111.62 / $171.23	Facility		$95.52	$111.62	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $89.53 / $101.74	Professional		$39.75	$89.53	$101.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.67 / $340.67 / $340.67	Professional		$340.67	$340.67	$340.67
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 $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $252.30 / $340.67	Professional		$76.19	$252.30	$340.67