Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $14,454.40	Facility		$61.66	$125.89	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $295.12	Facility		$158.49	$186.21	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $128.82 / $3,801.89	Facility		$61.66	$128.82	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $1,778.28	Facility		$61.66	$141.25	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $218.78	Professional		$87.10	$151.36	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $398.11	Facility		$158.49	$158.49	$398.11
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