Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $106.61	Facility		$59.47	$69.50	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $34.07 / $158.63	Professional		$27.26	$34.07	$158.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $21.13	Facility		$15.33	$15.33	$21.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $21.13	Facility		$15.33	$15.33	$21.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $21.13	Facility		$15.33	$15.33	$21.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $90.00	Facility		$60.00	$60.00	$90.00