Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $94.95 / $159.22	Facility		$94.95	$94.95	$159.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.24 / $316.95 / $486.23	Facility		$271.24	$316.95	$486.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $106.11 / $151.80	Facility		$89.99	$106.11	$151.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $106.11 / $206.23	Facility		$90.35	$106.11	$206.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $104.48 / $206.23	Facility		$89.99	$104.48	$206.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $246.11 / $343.20	Professional		$168.48	$246.11	$343.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $530.24 / $530.24 / $530.24	Facility		$530.24	$530.24	$530.24