Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.58 / $355.92 / $546.00	Facility		$304.58	$355.92	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $158.44 / $218.75	Professional		$126.75	$158.44	$218.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $165.92	Facility		$165.92	$165.92	$165.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $137.32 / $165.92	Facility		$137.32	$137.32	$165.92
United Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $68.62 / $91.54	Facility		$57.22	$68.62	$91.54