Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $467.74 / $676.08	Facility		$199.53	$467.74	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $630.96	Facility		$302.00	$380.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $630.96	Facility		$281.84	$371.54	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,202.26	Professional		$426.58	$660.69	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,995.26	Facility		$741.31	$741.31	$1,995.26