Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $283.14 / $14,482.00	Facility		$135.05	$283.14	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.14 / $413.84 / $634.84	Facility		$354.14	$413.84	$634.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $176.22 / $298.45	Facility		$135.05	$176.22	$298.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $275.54 / $1,789.00	Facility		$135.05	$275.54	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $173.25 / $298.45	Facility		$135.05	$173.25	$298.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.12 / $337.61 / $486.04	Professional		$231.12	$337.61	$486.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $647.90 / $647.90 / $647.90	Facility		$647.90	$647.90	$647.90
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