Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Facility		$757.50	$757.50	$757.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Professional		$757.50	$757.50	$757.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.68 / $4,104.64 / $4,104.64	Facility		$1,269.68	$4,104.64	$4,104.64