Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,351.02 / $2,747.36 / $4,214.51	Facility		$2,351.02	$2,747.36	$4,214.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $978.38 / $1,037.08 / $1,222.97	Professional		$978.38	$1,037.08	$1,222.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $984.24 / $1,866.62 / $2,254.48	Facility		$984.24	$1,866.62	$2,254.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $984.24 / $1,534.58 / $2,254.48	Facility		$984.24	$1,534.58	$2,254.48
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 $984.24 / $1,866.62 / $2,254.48	Facility		$984.24	$1,866.62	$2,254.48