Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,630.27	Facility		$1,412.54	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $741.31	Professional		$354.81	$426.58	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
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 / $588.84	Facility		$60.26	$60.26	$588.84