Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,726.55 / $2,017.61 / $3,095.06	Facility		$1,726.55	$2,017.61	$3,095.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.50 / $761.61 / $898.13	Professional		$718.50	$761.61	$898.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $843.93 / $1,600.24 / $1,932.50	Facility		$843.93	$1,600.24	$1,932.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.93 / $1,315.41 / $1,932.50	Facility		$843.93	$1,315.41	$1,932.50
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 $843.93 / $1,600.24 / $1,932.50	Facility		$843.93	$1,600.24	$1,932.50