Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.44 / $425.44 / $818.48	Facility		$425.44	$425.44	$818.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.82 / $672.89 / $1,032.22	Facility		$575.82	$672.89	$1,032.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.81 / $307.24 / $638.16	Facility		$208.81	$307.24	$638.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $405.45 / $765.79	Facility		$210.91	$405.45	$765.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.81 / $307.24 / $638.16	Facility		$208.81	$307.24	$638.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $520.61 / $749.50	Professional		$419.25	$520.61	$749.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $523.53 / $999.13 / $999.13	Facility		$523.53	$999.13	$999.13