Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $270.33 / $383.16	Facility		$147.77	$270.33	$383.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $115.88 / $140.63	Professional		$112.50	$115.88	$140.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $105.93 / $191.30	Facility		$105.93	$105.93	$191.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $105.93 / $191.30	Facility		$105.93	$105.93	$191.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $105.93 / $191.30	Facility		$105.93	$105.93	$191.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $541.45 / $541.45 / $541.45	Facility		$541.45	$541.45	$541.45