Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $179.50 / $530.91	Facility		$134.63	$179.50	$530.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $240.95 / $294.39	Facility		$195.50	$240.95	$294.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.66 / $631.82 / $969.23	Facility		$540.66	$631.82	$969.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $176.69 / $225.57 / $415.70	Facility		$176.69	$225.57	$415.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $228.31 / $415.70	Facility		$177.41	$228.31	$415.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $226.51 / $428.99	Facility		$162.16	$226.51	$428.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.07 / $580.88 / $667.47	Professional		$385.07	$580.88	$667.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $934.03 / $934.03 / $934.03	Facility		$934.03	$934.03	$934.03