Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $636.82 / $14,482.00	Facility		$304.49	$636.82	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.79 / $928.77 / $1,424.76	Facility		$794.79	$928.77	$1,424.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $426.29 / $702.38	Facility		$304.49	$426.29	$702.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $308.85 / $617.72 / $1,778.00	Facility		$308.85	$617.72	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $426.29 / $702.38	Facility		$304.49	$426.29	$702.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $798.34 / $1,191.76	Professional		$654.79	$798.34	$1,191.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,525.91 / $1,525.91 / $1,525.91	Facility		$1,525.91	$1,525.91	$1,525.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $152.59 / $152.59 / $152.59	Facility	AS	$152.59	$152.59	$152.59
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