Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $47.43 / $162.16	Facility		$47.43	$47.43	$162.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $133.72 / $205.15	Facility		$114.44	$133.72	$205.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $55.07 / $121.71	Facility		$43.25	$55.07	$121.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $55.07 / $121.71	Facility		$43.31	$55.07	$121.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $55.07 / $121.71	Facility		$43.25	$55.07	$121.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $102.17 / $141.90	Professional		$77.40	$102.17	$141.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.60 / $103.25 / $195.30	Facility		$82.60	$103.25	$195.30