Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $951.25 / $14,482.00	Facility		$169.31	$951.25	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.38 / $2,615.73 / $4,012.59	Facility		$2,238.38	$2,615.73	$4,012.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $689.28 / $1,442.61	Facility		$152.83	$689.28	$1,442.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $780.33 / $1,683.17	Facility		$152.77	$780.33	$1,683.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $689.28 / $1,442.61	Facility		$152.83	$689.28	$1,442.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.29 / $861.12 / $2,718.63	Professional		$341.29	$861.12	$2,718.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $1,320.19 / $1,320.19	Facility		$263.30	$1,320.19	$1,320.19
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