Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $1,258.93	Facility		$446.68	$457.09	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,174.90	Professional		$446.68	$446.68	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $954.99	Facility		$426.58	$512.86	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $549.54 / $1,148.15	Facility		$426.58	$549.54	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,621.81	Professional		$524.81	$794.33	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,513.56	Professional		$758.58	$1,096.48	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,818.38 / $2,818.38	Facility		$870.96	$2,818.38	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Security Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,548.82	Facility		$1,174.90	$1,174.90	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,698.24	Professional		$501.19	$758.58	$1,698.24