Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $460.78 / $14,482.00	Facility		$221.43	$460.78	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.72 / $673.94 / $1,033.83	Facility		$576.72	$673.94	$1,033.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $310.00 / $507.04	Facility		$221.43	$310.00	$507.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.60 / $447.03 / $1,778.00	Facility		$224.60	$447.03	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $310.00 / $507.04	Facility		$221.43	$310.00	$507.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $471.61 / $574.99 / $858.35	Professional		$471.61	$574.99	$858.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,864.70 / $3,864.70 / $3,864.70	Facility		$3,864.70	$3,864.70	$3,864.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $109.91 / $109.91 / $109.91	Facility	AS	$109.91	$109.91	$109.91
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