Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $40.74	Facility		$20.89	$20.89	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Facility		$28.84	$33.88	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $44.67 / $2,041.74	Facility		$12.02	$44.67	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $389.05	Facility		$12.30	$25.70	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $478.63	Professional		$13.18	$25.70	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $562.34 / $562.34	Facility		$25.70	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Facility		$1,445.44	$1,445.44	$1,905.46