Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $84.88 / $84.88	Facility		$84.88	$84.88	$84.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.70 / $280.11 / $429.69	Facility		$239.70	$280.11	$429.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $99.60 / $192.76	Facility		$84.88	$99.60	$192.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $99.60 / $203.71	Facility		$79.81	$99.60	$203.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $99.60 / $192.76	Facility		$82.46	$99.60	$192.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $219.29 / $305.80	Professional		$140.94	$219.29	$305.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.37 / $173.91 / $466.08	Facility		$111.37	$173.91	$466.08