Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $30.51 / $14,482.00	Facility		$18.96	$30.51	$14,482.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $23.34 / $23.34	Facility		$15.02	$23.34	$23.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $71.34	Facility		$37.85	$44.23	$71.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $23.78 / $50.60	Facility		$14.92	$23.78	$50.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $1,100.00 / $2,043.20	Facility		$17.17	$1,100.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $23.78 / $50.60	Facility		$14.92	$23.78	$50.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $47.17 / $62.12	Professional		$30.55	$47.17	$62.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7.11 / $7.11 / $7.11	Facility	AS	$7.11	$7.11	$7.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90