Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $136.94 / $406.67	Facility		$102.71	$136.94	$406.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.36 / $184.26 / $224.60	Facility		$149.36	$184.26	$224.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.82 / $174.58 / $318.72	Facility		$134.82	$174.58	$318.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $174.91 / $318.72	Facility		$135.47	$174.91	$318.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $174.91 / $333.92	Facility		$123.98	$174.91	$333.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $446.42 / $519.20	Professional		$294.58	$446.42	$519.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $714.54 / $714.54 / $714.54	Facility		$714.54	$714.54	$714.54