Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.09 / $58.76	Facility		$55.09	$55.09	$58.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.81 / $193.76 / $297.23	Facility		$165.81	$193.76	$297.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $66.88 / $121.35	Facility		$54.82	$66.88	$121.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $66.88 / $121.35	Facility		$54.34	$66.88	$121.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $66.88 / $121.35	Facility		$54.82	$66.88	$121.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $145.13 / $199.05	Professional		$92.58	$145.13	$199.05