Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $103.20 / $158.31	Facility		$88.31	$103.20	$158.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $50.59 / $235.55	Professional		$40.47	$50.59	$235.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $31.56	Facility		$22.90	$22.90	$31.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $31.56	Facility		$22.90	$22.90	$31.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $31.56	Facility		$22.90	$22.90	$31.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $122.67	Facility		$60.00	$60.00	$122.67