Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.85 / $512.85 / $512.85	Facility		$512.85	$512.85	$512.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $137.28 / $161.36	Professional		$137.28	$137.28	$161.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.08 / $700.08 / $700.08	Facility		$700.08	$700.08	$700.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,094.40 / $3,094.40 / $3,094.40	Facility		$3,094.40	$3,094.40	$3,094.40