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 $1,490.17 / $4,104.64 / $4,104.64	Facility		$1,490.17	$4,104.64	$4,104.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $933.25 / $1,745.71	Professional		$680.42	$933.25	$1,745.71
United Facility/Professional Professional Modifier Low / Median / High Price $659.54 / $948.52 / $1,745.71	Professional		$659.54	$948.52	$1,745.71