Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,687.00 / $2,687.00 / $2,687.00	Professional		$2,687.00	$2,687.00	$2,687.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.46 / $1,027.46 / $1,027.46	Facility		$1,027.46	$1,027.46	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $335.18 / $335.18	Professional		$335.18	$335.18	$335.18
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 $335.18 / $335.18 / $335.18	Professional		$335.18	$335.18	$335.18
United Facility/Professional Facility Modifier Low / Median / High Price $312.63 / $312.63 / $318.42	Facility		$312.63	$312.63	$318.42