Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.93 / $1,894.00 / $5,952.63	Facility		$158.93	$1,894.00	$5,952.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.62 / $579.16 / $934.18	Facility		$495.62	$579.16	$934.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.40 / $185.95 / $290.10	Facility		$121.40	$185.95	$290.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $373.26 / $2,090.40	Facility		$145.34	$373.26	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $121.40 / $185.95 / $290.10	Facility		$121.40	$185.95	$290.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $458.29 / $659.78	Professional		$249.71	$458.29	$659.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $676.68 / $676.68 / $676.68	Facility		$676.68	$676.68	$676.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90