Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $33.04 / $153.83	Professional		$26.43	$33.04	$153.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $20.61	Facility		$14.95	$14.95	$20.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $20.61	Facility		$14.95	$14.95	$20.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $20.61	Facility		$14.95	$14.95	$20.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $160.00	Facility		$60.00	$60.00	$160.00