Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $5,248.07 / $5,248.07	Facility		$144.54	$5,248.07	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $537.03	Facility		$288.40	$331.13	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $7,413.10 / $14,454.40	Facility		$131.83	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,202.26 / $2,041.74	Facility		$131.83	$1,202.26	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $398.11	Professional		$177.83	$281.84	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $741.31	Facility		$288.40	$288.40	$741.31
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $181.97 / $181.97 / $467.74	Facility	62	$181.97	$181.97	$467.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $28.84 / $28.84 / $74.13	Facility	AS	$28.84	$28.84	$74.13
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