Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.78 / $922.39 / $14,482.00	Facility		$440.78	$922.39	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.63 / $1,345.77 / $2,064.44	Facility		$1,151.63	$1,345.77	$2,064.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $440.78 / $617.09 / $1,039.66	Facility		$440.78	$617.09	$1,039.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.13 / $894.98 / $1,778.00	Facility		$447.13	$894.98	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $440.78 / $617.09 / $1,039.66	Facility		$440.78	$617.09	$1,039.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.82 / $1,153.15 / $1,721.43	Professional		$945.82	$1,153.15	$1,721.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,723.24 / $7,723.24 / $7,723.24	Facility		$7,723.24	$7,723.24	$7,723.24
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,377.59 / $1,377.59 / $1,377.59	Facility	62	$1,377.59	$1,377.59	$1,377.59
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $220.41 / $220.41 / $220.41	Facility	AS	$220.41	$220.41	$220.41
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