Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $468.60 / $755.83	Facility		$401.00	$468.60	$755.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $176.89 / $211.93	Professional		$166.88	$176.89	$211.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.24 / $286.24 / $286.24	Facility		$286.24	$286.24	$286.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $286.24 / $286.24 / $286.24	Facility		$286.24	$286.24	$286.24