Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $56.30 / $72.19	Professional		$49.54	$56.30	$72.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $146.91 / $146.91	Facility		$26.96	$146.91	$146.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $194.36 / $194.36	Professional		$194.36	$194.36	$194.36
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 Professional Modifier Low / Median / High Price $35.67 / $65.47 / $85.01	Professional		$35.67	$65.47	$85.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $52.88 / $146.91	Facility		$52.88	$52.88	$146.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $142.15 / $194.36	Professional		$118.98	$142.15	$194.36
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00