Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $205.31 / $3,119.00	Facility		$58.92	$205.31	$3,119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.41 / $677.10 / $1,038.69	Facility		$579.41	$677.10	$1,038.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $173.05 / $329.72	Facility		$58.92	$173.05	$329.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $207.35 / $1,449.00	Facility		$61.41	$207.35	$1,449.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $173.05 / $329.72	Facility		$58.92	$173.05	$329.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.87 / $293.12 / $662.06	Professional		$135.87	$293.12	$662.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.47 / $269.47 / $269.47	Facility		$269.47	$269.47	$269.47
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