Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $45.61 / $156.19	Facility		$45.61	$45.61	$156.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $128.47 / $197.08	Facility		$109.94	$128.47	$197.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $49.43 / $85.05	Facility		$41.31	$49.43	$85.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $50.17 / $85.05	Facility		$40.86	$50.17	$85.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $50.17 / $94.02	Facility		$41.31	$50.17	$94.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $103.18 / $147.40	Professional		$72.36	$103.18	$147.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $202.83 / $202.83	Facility		$202.83	$202.83	$202.83