Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $381.04 / $1,894.00	Facility		$117.82	$381.04	$1,894.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $563.37 / $908.70	Facility		$482.10	$563.37	$908.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $181.77 / $280.77	Facility		$117.82	$181.77	$280.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $280.77 / $1,789.00	Facility		$137.85	$280.77	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $181.77 / $280.77	Facility		$117.82	$181.77	$280.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.70 / $447.25 / $643.89	Professional		$243.70	$447.25	$643.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $655.48 / $655.48	Facility		$655.48	$655.48	$655.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90