Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.29 / $100.15	Facility		$55.87	$65.29	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $32.01 / $149.02	Professional		$25.61	$32.01	$149.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $14.51 / $20.00	Facility		$14.51	$14.51	$20.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $14.51 / $20.00	Facility		$14.51	$14.51	$20.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $14.51 / $20.00	Facility		$14.51	$14.51	$20.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00