Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $724.10 / $1,010.12	Facility		$336.35	$724.10	$1,010.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.65 / $469.56 / $624.59	Facility		$375.65	$469.56	$624.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.47 / $1,198.34 / $1,838.30	Facility		$1,025.47	$1,198.34	$1,838.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.98 / $404.51 / $809.12	Facility		$307.98	$404.51	$809.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.98 / $404.59 / $809.12	Facility		$307.98	$404.59	$809.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.98 / $404.51 / $809.12	Facility		$307.98	$404.51	$809.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $728.99 / $935.52 / $1,304.59	Professional		$728.99	$935.52	$1,304.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $451.80 / $451.80 / $1,795.39	Facility		$451.80	$451.80	$1,795.39
United Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $482.10 / $482.10	Facility		$482.10	$482.10	$482.10