Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $86.70 / $1,289.54	Facility		$25.50	$86.70	$1,289.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.66 / $1,127.42 / $1,317.48	Facility		$628.66	$1,127.42	$1,317.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $70.68 / $927.18	Facility		$25.50	$70.68	$927.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $79.47 / $927.18	Facility		$25.94	$79.47	$927.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $70.68 / $927.18	Facility		$25.50	$70.68	$927.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $101.31 / $1,127.24	Professional		$54.52	$101.31	$1,127.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $55.90 / $110.49	Facility		$44.72	$55.90	$110.49