Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $255.13 / $14,482.00	Facility		$158.61	$255.13	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $370.67 / $597.87	Facility		$317.19	$370.67	$597.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.73 / $198.55 / $243.79	Facility		$124.73	$198.55	$243.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.49 / $1,215.00 / $2,090.40	Facility		$143.49	$1,215.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.73 / $198.55 / $243.79	Facility		$124.73	$198.55	$243.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $310.00 / $446.29	Professional		$200.86	$310.00	$446.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
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