Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.99 / $879.14 / $2,972.41	Facility		$180.99	$879.14	$2,972.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,241.98 / $2,619.94 / $4,225.87	Facility		$2,241.98	$2,619.94	$4,225.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.99 / $374.52 / $1,321.28	Facility		$180.99	$374.52	$1,321.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.37 / $1,198.00 / $1,813.58	Facility		$193.37	$1,198.00	$1,813.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.99 / $374.52 / $1,321.28	Facility		$180.99	$374.52	$1,321.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.33 / $864.36 / $2,841.07	Professional		$407.33	$864.36	$2,841.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,472.11 / $1,472.11 / $1,472.11	Facility		$1,472.11	$1,472.11	$1,472.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90