Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $84.16 / $249.18	Facility		$63.12	$84.16	$249.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $113.28 / $138.35	Facility		$91.85	$113.28	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.31 / $294.85 / $452.31	Facility		$252.31	$294.85	$452.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $131.30 / $195.18	Facility		$83.56	$131.30	$195.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $132.57 / $195.18	Facility		$84.16	$132.57	$195.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.12 / $131.30 / $208.38	Facility		$76.12	$131.30	$208.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $276.08 / $348.54	Professional		$180.99	$276.08	$348.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $523.65 / $523.65 / $523.65	Facility		$523.65	$523.65	$523.65