Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $40.78	Facility		$21.27	$21.27	$40.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $21.27 / $133.80	Facility		$11.94	$21.27	$133.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $22.06 / $293.31	Facility		$12.06	$22.06	$293.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $21.27 / $131.57	Facility		$11.94	$21.27	$131.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $31.42 / $483.17	Professional		$21.45	$31.42	$483.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $620.88 / $620.88	Facility		$26.18	$620.88	$620.88