Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Facility		$199.53	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $104.71	Professional		$81.28	$91.20	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $138.04	Facility		$87.10	$87.10	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $138.04	Facility		$87.10	$87.10	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88