Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $119.26	Facility		$34.43	$34.43	$119.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $150.22	Facility		$83.80	$97.93	$150.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $35.69 / $64.81	Facility		$30.24	$35.69	$64.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $36.14 / $64.81	Facility		$29.74	$36.14	$64.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $36.14 / $65.38	Facility		$30.24	$36.14	$65.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $73.92 / $105.60	Professional		$51.84	$73.92	$105.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $145.31 / $145.31 / $145.31	Facility		$145.31	$145.31	$145.31