Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.86 / $1,741.55 / $14,482.00	Facility		$1,080.86	$1,741.55	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,165.39 / $2,530.42 / $4,081.50	Facility		$2,165.39	$2,530.42	$4,081.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.42 / $1,357.39 / $1,678.59	Facility		$851.42	$1,357.39	$1,678.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,359.19 / $2,090.40	Facility		$916.00	$1,359.19	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $851.42 / $1,357.39 / $1,678.59	Facility		$851.42	$1,357.39	$1,678.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,159.59 / $2,277.38 / $3,189.85	Professional		$1,159.59	$2,277.38	$3,189.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,791.18 / $26,791.18 / $26,791.18	Facility		$26,791.18	$26,791.18	$26,791.18
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $408.43 / $408.43 / $408.43	Facility	AS	$408.43	$408.43	$408.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90