Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $786.02 / $14,482.00	Facility		$155.82	$786.02	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.89 / $1,215.20 / $1,864.14	Facility		$1,039.89	$1,215.20	$1,864.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $358.00 / $751.08	Facility		$140.13	$358.00	$751.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $382.17 / $1,309.00	Facility		$140.10	$382.17	$1,309.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $358.00 / $751.08	Facility		$140.34	$358.00	$751.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $663.72 / $1,287.77	Professional		$311.52	$663.72	$1,287.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.25 / $699.80 / $699.80	Facility		$240.25	$699.80	$699.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90