Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,584.41 / $3,020.09 / $4,871.30	Facility		$2,584.41	$3,020.09	$4,871.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.02 / $3,122.21 / $3,547.96	Professional		$1,220.02	$3,122.21	$3,547.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,457.55 / $2,457.55 / $2,457.55	Facility		$2,457.55	$2,457.55	$2,457.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,457.55 / $2,457.55 / $2,457.55	Facility		$2,457.55	$2,457.55	$2,457.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $70.00	Professional		$55.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,457.55 / $2,457.55 / $2,457.55	Facility		$2,457.55	$2,457.55	$2,457.55