Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.05 / $636.57 / $14,482.00	Facility		$304.05	$636.57	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.89 / $927.72 / $1,423.15	Facility		$793.89	$927.72	$1,423.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.05 / $425.67 / $702.38	Facility		$304.05	$425.67	$702.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $308.43 / $617.50 / $1,778.00	Facility		$308.43	$617.50	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.05 / $425.67 / $702.38	Facility		$304.05	$425.67	$702.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $654.15 / $797.54 / $1,190.58	Professional		$654.15	$797.54	$1,190.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,313.28 / $5,313.28 / $5,313.28	Facility		$5,313.28	$5,313.28	$5,313.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $152.44 / $152.44 / $152.44	Facility	AS	$152.44	$152.44	$152.44
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