Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $207.02 / $14,482.00	Facility		$97.44	$207.02	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $301.17 / $462.00	Facility		$257.72	$301.17	$462.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $126.61 / $215.34	Facility		$97.44	$126.61	$215.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $201.54 / $1,789.00	Facility		$97.44	$201.54	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $124.66 / $215.34	Facility		$97.44	$124.66	$215.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $247.68 / $356.58	Professional		$169.56	$247.68	$356.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $475.35 / $475.35 / $475.35	Facility		$475.35	$475.35	$475.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90