Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.54 / $409.63 / $628.38	Facility		$350.54	$409.63	$628.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $246.77 / $419.68	Professional		$197.42	$246.77	$419.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.83 / $522.83 / $522.83	Professional		$522.83	$522.83	$522.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $627.45 / $627.45 / $627.45	Facility		$627.45	$627.45	$627.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $522.83 / $522.83	Professional		$302.77	$522.83	$522.83