Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $14,454.40	Facility		$316.23	$512.86	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $7,413.10 / $14,454.40	Facility		$288.40	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $2,041.74	Facility		$288.40	$1,202.26	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $891.25	Professional		$398.11	$630.96	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,621.81	Facility		$630.96	$630.96	$1,621.81
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $63.10 / $63.10 / $162.18	Facility	AS	$63.10	$63.10	$162.18
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