Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $31.49 / $146.62	Professional		$25.19	$31.49	$146.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $19.55	Facility		$14.22	$14.22	$19.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $19.55	Facility		$14.22	$14.22	$19.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $19.55	Facility		$14.22	$14.22	$19.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Facility		$60.00	$60.00	$100.00