Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $4,073.80 / $4,073.80	Facility		$64.57	$4,073.80	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $10,471.29	Facility		$66.07	$134.90	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $1,778.28	Facility		$67.61	$141.25	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $213.80	Professional		$95.50	$147.91	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $426.58	Facility		$169.82	$169.82	$426.58
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $16.98 / $16.98 / $42.66	Facility	AS	$16.98	$16.98	$42.66
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