Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $457.09	Professional		$190.55	$239.88	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $323.59	Facility		$60.26	$60.26	$323.59