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 $703.07 / $1,333.42 / $1,610.55	Facility		$703.07	$1,333.42	$1,610.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.07 / $1,096.27 / $1,610.55	Facility		$703.07	$1,096.27	$1,610.55
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 $703.07 / $1,333.42 / $1,610.55	Facility		$703.07	$1,333.42	$1,610.55