Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.94 / $807.17 / $14,482.00	Facility		$499.94	$807.17	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.45 / $1,177.29 / $1,898.92	Facility		$1,007.45	$1,177.29	$1,898.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $394.61 / $560.32 / $780.08	Facility		$394.61	$560.32	$780.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $1,209.00 / $2,090.40	Facility		$453.27	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $394.61 / $560.32 / $780.08	Facility		$394.61	$560.32	$780.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $1,245.58 / $1,637.64	Professional		$806.65	$1,245.58	$1,637.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,878.65 / $1,878.65 / $1,878.65	Facility		$1,878.65	$1,878.65	$1,878.65
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,174.16 / $1,174.16 / $1,174.16	Facility	62	$1,174.16	$1,174.16	$1,174.16
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