Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $245.79 / $14,482.00	Facility		$118.03	$245.79	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.18 / $360.14 / $552.46	Facility		$308.18	$360.14	$552.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $151.26 / $260.85	Facility		$118.03	$151.26	$260.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $239.25 / $1,789.00	Facility		$118.03	$239.25	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $148.85 / $260.85	Facility		$118.03	$148.85	$260.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $293.43 / $422.44	Professional		$200.88	$293.43	$422.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $563.14 / $563.14 / $563.14	Facility		$563.14	$563.14	$563.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90