Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $870.96 / $2,951.21	Facility		$181.97	$870.96	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,819.70 / $4,265.80	Facility		$204.17	$1,819.70	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,202.26 / $1,819.70	Facility		$204.17	$1,202.26	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $870.96 / $2,754.23	Professional		$302.00	$870.96	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $6,760.83	Facility		$457.09	$457.09	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84