Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $190.55	Facility		$64.57	$75.86	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $251.19	Facility		$93.33	$151.36	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $141.25	Facility		$64.57	$75.86	$141.25
Security Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $181.97	Facility		$128.82	$165.96	$181.97