Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $1,047.13 / $1,621.81	Facility		$44.67	$1,047.13	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $281.84	Facility		$147.91	$173.78	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $46.77 / $107.15	Facility		$23.44	$46.77	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $50.12 / $407.38	Facility		$21.38	$50.12	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $181.97	Professional		$45.71	$109.65	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $169.82	Facility		$53.70	$53.70	$169.82