Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $473.94 / $673.83	Facility		$200.00	$473.94	$673.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.04 / $979.32 / $1,502.30	Facility		$838.04	$979.32	$1,502.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $280.81 / $383.33 / $613.38	Facility		$280.81	$383.33	$613.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.81 / $383.33 / $627.63	Facility		$280.81	$383.33	$627.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $299.48 / $469.94 / $627.63	Facility		$299.48	$469.94	$627.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.25 / $767.50 / $1,345.86	Professional		$598.25	$767.50	$1,345.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,472.94 / $1,472.94 / $1,472.94	Facility		$1,472.94	$1,472.94	$1,472.94