Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $630.96 / $14,454.40	Facility		$302.00	$630.96	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $630.96 / $10,471.29	Facility		$316.23	$630.96	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $1,778.28	Facility		$323.59	$645.65	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,047.13	Professional		$467.74	$724.44	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $5,248.07	Facility		$794.33	$794.33	$5,248.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $79.43 / $79.43 / $524.81	Facility	AS	$79.43	$79.43	$524.81
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