Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $14,454.40	Facility		$158.49	$257.04	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $7,762.47 / $14,454.40	Facility		$144.54	$7,762.47	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,230.27 / $2,041.74	Facility		$144.54	$1,230.27	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $398.11	Professional		$186.21	$275.42	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $812.83	Facility		$316.23	$316.23	$812.83
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