Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $14,454.40	Facility		$138.04	$295.12	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $295.12 / $3,801.89	Facility		$141.25	$295.12	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $1,778.28	Facility		$141.25	$331.13	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $512.86	Professional		$204.17	$354.81	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $933.25	Facility		$371.54	$371.54	$933.25
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