Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.89 / $1,683.80 / $2,582.98	Facility		$1,440.89	$1,683.80	$2,582.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.63 / $635.60 / $749.53	Professional		$599.63	$635.60	$749.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.37 / $1,066.35 / $1,287.88	Facility		$562.37	$1,066.35	$1,287.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.37 / $876.62 / $1,287.88	Facility		$562.37	$876.62	$1,287.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $562.37 / $1,066.35 / $1,287.88	Facility		$562.37	$1,066.35	$1,287.88