Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $380.19	Facility		$134.90	$177.83	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $407.38	Facility		$223.87	$257.04	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Facility		$537.03	$630.96	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $407.38	Facility		$162.18	$218.78	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $407.38	Facility		$177.83	$218.78	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $630.96	Professional		$309.03	$489.78	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $1,288.25	Facility		$389.05	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $141.25	Facility		$109.65	$109.65	$141.25