Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $565.96 / $14,482.00	Facility		$147.49	$565.96	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.35 / $1,551.11 / $2,379.44	Facility		$1,327.35	$1,551.11	$2,379.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $399.45 / $843.84	Facility		$132.47	$399.45	$843.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $463.00 / $1,215.00	Facility		$131.83	$463.00	$1,215.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $399.45 / $843.84	Facility		$132.63	$399.45	$843.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.73 / $623.87 / $1,629.59	Professional		$295.73	$623.87	$1,629.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.18 / $881.91 / $881.91	Facility		$228.18	$881.91	$881.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90