Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.75 / $508.57 / $14,482.00	Facility		$314.75	$508.57	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.69 / $738.17 / $1,190.65	Facility		$631.69	$738.17	$1,190.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $357.63 / $489.77	Facility		$248.63	$357.63	$489.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.85 / $1,209.00 / $2,090.40	Facility		$287.85	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $357.63 / $489.77	Facility		$248.63	$357.63	$489.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.85 / $791.92 / $1,031.33	Professional		$512.85	$791.92	$1,031.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,194.38 / $1,194.38 / $1,194.38	Facility		$1,194.38	$1,194.38	$1,194.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $119.44 / $119.44 / $119.44	Facility	AS	$119.44	$119.44	$119.44
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