Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $618.12 / $862.28	Facility		$287.33	$618.12	$862.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.78 / $1,014.07 / $1,555.61	Facility		$867.78	$1,014.07	$1,555.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.41 / $345.16 / $692.23	Facility		$262.41	$345.16	$692.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.41 / $346.48 / $692.23	Facility		$262.41	$346.48	$692.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $260.82 / $345.16 / $692.23	Facility		$260.82	$345.16	$692.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $793.53 / $1,106.59	Professional		$604.41	$793.53	$1,106.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $382.54 / $382.54 / $1,522.92	Facility		$382.54	$382.54	$1,522.92
United Facility/Professional Facility Modifier Low / Median / High Price $395.63 / $395.63 / $395.63	Facility		$395.63	$395.63	$395.63