Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $106.21 / $1,627.22	Facility		$45.68	$106.21	$1,627.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $174.80 / $281.95	Facility		$149.59	$174.80	$281.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $46.29 / $106.21	Facility		$23.36	$46.29	$106.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $50.00 / $357.97	Facility		$21.57	$50.00	$357.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $46.29 / $106.21	Facility		$23.36	$46.29	$106.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $97.28 / $173.98	Professional		$53.13	$97.28	$173.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.46 / $104.46 / $104.46	Facility		$104.46	$104.46	$104.46