Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.61 / $165.85	Professional		$28.50	$35.61	$165.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $15.52 / $22.12	Facility		$15.52	$15.52	$22.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $15.52 / $22.12	Facility		$15.52	$15.52	$22.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $15.52 / $22.12	Facility		$15.52	$15.52	$22.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $113.00	Facility		$60.00	$60.00	$113.00