Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $14,454.40	Facility		$128.82	$316.23	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,630.27 / $5,128.61	Facility		$151.36	$2,630.27	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,202.26 / $2,041.74	Facility		$151.36	$1,202.26	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $512.86	Professional		$190.55	$371.54	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,000.00	Facility		$398.11	$398.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84