Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $239.56 / $14,482.00	Facility		$64.40	$239.56	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $194.81 / $298.83	Facility		$166.71	$194.81	$298.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $89.61 / $142.32	Facility		$64.40	$89.61	$142.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $134.41 / $1,789.00	Facility		$65.34	$134.41	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $89.61 / $142.32	Facility		$64.40	$89.61	$142.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $166.32 / $248.28	Professional		$136.41	$166.32	$248.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $317.91 / $317.91 / $317.91	Facility		$317.91	$317.91	$317.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $31.79 / $31.79 / $31.79	Facility	AS	$31.79	$31.79	$31.79
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