Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $297.88 / $14,482.00	Facility		$139.57	$297.88	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.16 / $434.90 / $667.15	Facility		$372.16	$434.90	$667.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $183.59 / $308.45	Facility		$139.57	$183.59	$308.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $290.04 / $1,789.00	Facility		$139.57	$290.04	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $180.47 / $308.45	Facility		$139.57	$180.47	$308.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $354.96 / $511.02	Professional		$243.00	$354.96	$511.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $681.22 / $681.22 / $681.22	Facility		$681.22	$681.22	$681.22
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