Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $440.42 / $2,721.59	Facility		$79.67	$440.42	$2,721.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.84 / $73.63 / $220.21	Facility	52	$39.84	$73.63	$220.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $374.88 / $604.66	Facility		$320.80	$374.88	$604.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $128.97 / $181.81	Facility		$72.59	$128.97	$181.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.43 / $177.03 / $1,789.00	Facility		$72.43	$177.03	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $128.97 / $181.81	Facility		$72.59	$128.97	$181.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $270.83 / $422.08	Professional		$149.47	$270.83	$422.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $538.02 / $538.02 / $538.02	Facility		$538.02	$538.02	$538.02
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $237.37 / $237.37 / $237.37	Facility	52	$237.37	$237.37	$237.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90