Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.60 / $730.61 / $2,581.36	Facility		$196.60	$730.61	$2,581.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,944.62 / $2,272.44 / $3,485.98	Facility		$1,944.62	$2,272.44	$3,485.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.46 / $643.73 / $1,548.89	Facility		$198.46	$643.73	$1,548.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $765.75 / $1,701.38	Facility		$210.52	$765.75	$1,701.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.46 / $643.73 / $1,548.89	Facility		$198.46	$643.73	$1,548.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $900.33 / $2,369.81	Professional		$469.82	$900.33	$2,369.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,312.39 / $1,312.39 / $1,312.39	Facility		$1,312.39	$1,312.39	$1,312.39
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