Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $167.43 / $256.83	Facility		$143.28	$167.43	$256.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $82.08 / $382.17	Professional		$65.67	$82.08	$382.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $37.18 / $51.26	Facility		$37.18	$37.18	$51.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $37.18 / $51.26	Facility		$37.18	$37.18	$51.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $37.18 / $51.26	Facility		$37.18	$37.18	$51.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $83.94 / $199.32	Facility		$60.00	$83.94	$199.32