Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $14,454.40	Facility		$218.78	$457.09	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $10,471.29	Facility		$234.42	$457.09	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $489.78 / $1,778.28	Facility		$234.42	$489.78	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $758.58	Professional		$331.13	$512.86	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $3,801.89	Facility		$575.44	$575.44	$3,801.89
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $57.54 / $57.54 / $380.19	Facility	AS	$57.54	$57.54	$380.19
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