Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.72 / $769.76 / $1,241.59	Facility		$658.72	$769.76	$1,241.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.13 / $290.57 / $348.14	Professional		$274.13	$290.57	$348.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $470.93 / $470.93	Facility		$470.93	$470.93	$470.93
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 $470.93 / $470.93 / $470.93	Facility		$470.93	$470.93	$470.93