Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $317.45 / $14,482.00	Facility		$129.86	$317.45	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.49 / $463.33 / $747.34	Facility		$396.49	$463.33	$747.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $180.60 / $303.33	Facility		$129.86	$180.60	$303.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $1,124.00 / $2,043.20	Facility		$151.94	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $180.60 / $303.33	Facility		$129.86	$180.60	$303.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $444.07 / $581.69	Professional		$319.80	$444.07	$581.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $744.78 / $744.78 / $744.78	Facility		$744.78	$744.78	$744.78
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