Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $232.72 / $357.00	Facility		$199.15	$232.72	$357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $114.09 / $531.20	Professional		$91.27	$114.09	$531.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $55.95	Facility		$51.79	$51.79	$55.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $55.95	Facility		$51.79	$51.79	$55.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $55.95	Facility		$51.79	$51.79	$55.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $116.90 / $268.30	Facility		$60.00	$116.90	$268.30