Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $126.99 / $14,482.00	Facility		$61.34	$126.99	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $186.39 / $285.92	Facility		$159.50	$186.39	$285.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $79.23 / $135.56	Facility		$61.34	$79.23	$135.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $123.60 / $1,789.00	Facility		$61.34	$123.60	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $78.08 / $135.56	Facility		$61.34	$78.08	$135.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $150.66 / $216.90	Professional		$103.14	$150.66	$216.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $289.13 / $289.13 / $289.13	Facility		$289.13	$289.13	$289.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90