Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $412.11 / $14,482.00	Facility		$143.50	$412.11	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $334.86 / $540.12	Facility		$286.56	$334.86	$540.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $169.83 / $222.03	Facility		$113.05	$169.83	$222.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.32 / $1,209.00 / $2,090.40	Facility		$131.32	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $169.83 / $222.03	Facility		$113.05	$169.83	$222.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $361.33 / $469.21	Professional		$234.00	$361.33	$469.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $544.99 / $544.99 / $544.99	Facility		$544.99	$544.99	$544.99
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $340.62 / $340.62 / $340.62	Facility	62	$340.62	$340.62	$340.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $54.50 / $54.50 / $54.50	Facility	AS	$54.50	$54.50	$54.50
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