Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.89 / $1,021.54 / $1,425.05	Facility		$476.89	$1,021.54	$1,425.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,439.99 / $1,682.74 / $2,581.37	Facility		$1,439.99	$1,682.74	$2,581.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $433.43 / $565.34 / $1,117.16	Facility		$433.43	$565.34	$1,117.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.43 / $574.78 / $1,117.16	Facility		$433.43	$574.78	$1,117.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $433.43 / $565.34 / $1,117.16	Facility		$433.43	$565.34	$1,117.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,017.85 / $1,308.61 / $1,824.90	Professional		$1,017.85	$1,308.61	$1,824.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $635.70 / $635.70 / $2,511.42	Facility		$635.70	$635.70	$2,511.42