Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $36.14 / $168.25	Professional		$28.91	$36.14	$168.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $16.47 / $22.71	Facility		$16.47	$16.47	$22.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $16.47 / $22.71	Facility		$16.47	$16.47	$22.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $16.47 / $22.71	Facility		$16.47	$16.47	$22.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00