Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $528.66 / $817.74	Facility		$200.00	$528.66	$817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $513.79 / $513.79	Professional		$513.79	$513.79	$513.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.49 / $339.49 / $339.49	Facility		$339.49	$339.49	$339.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23