Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.91 / $558.45 / $14,482.00	Facility		$347.91	$558.45	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.86 / $810.83 / $1,307.84	Facility		$693.86	$810.83	$1,307.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.02 / $402.05 / $536.34	Facility		$273.02	$402.05	$536.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $1,209.00 / $2,090.40	Facility		$317.60	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.02 / $402.05 / $536.34	Facility		$273.02	$402.05	$536.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $874.22 / $1,134.79	Professional		$566.15	$874.22	$1,134.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,318.54 / $1,318.54 / $1,318.54	Facility		$1,318.54	$1,318.54	$1,318.54
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