Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $437.27 / $14,482.00	Facility		$196.84	$437.27	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.08 / $638.14 / $978.92	Facility		$546.08	$638.14	$978.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $247.90 / $424.37	Facility		$196.84	$247.90	$424.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $310.98 / $1,789.00	Facility		$196.84	$310.98	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $243.77 / $424.37	Facility		$196.84	$243.77	$424.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.17 / $542.69 / $781.29	Professional		$390.17	$542.69	$781.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,658.06 / $3,658.06 / $3,658.06	Facility		$3,658.06	$3,658.06	$3,658.06
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $650.92 / $650.92 / $650.92	Facility	62	$650.92	$650.92	$650.92
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $104.15 / $104.15 / $104.15	Facility	AS	$104.15	$104.15	$104.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90