Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $309.03	Facility		$147.91	$194.98	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $69.18 / $112.20	Facility		$53.70	$69.18	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $72.44 / $120.23	Facility		$53.70	$72.44	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $213.80	Professional		$87.10	$141.25	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20