Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $14,454.40	Facility		$114.82	$239.88	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $562.34	Facility		$302.00	$354.81	$562.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $10,471.29	Facility		$114.82	$239.88	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $1,778.28	Facility		$117.49	$257.04	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,862.09	Facility		$302.00	$302.00	$1,862.09
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