Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $397.58 / $14,482.00	Facility		$187.70	$397.58	$14,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.22 / $583.38 / $894.92	Facility		$499.22	$583.38	$894.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $255.98 / $386.63	Facility		$187.70	$255.98	$386.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $337.86 / $1,789.00	Facility		$187.70	$337.86	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $242.67 / $386.63	Facility		$187.70	$242.67	$386.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $459.08 / $660.92	Professional		$349.20	$459.08	$660.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $881.06 / $881.06	Facility		$881.06	$881.06	$881.06
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