Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $184.25 / $245.67	Facility		$184.25	$184.25	$245.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.02 / $125.02 / $125.02	Facility		$125.02	$125.02	$125.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.02 / $125.02 / $2,000.00	Facility		$125.02	$125.02	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $66.95 / $530.00	Professional		$40.94	$66.95	$530.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.67 / $118.40	Professional		$60.00	$75.67	$118.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.02 / $125.02 / $125.02	Facility		$125.02	$125.02	$125.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $2,000.00	Facility		$350.00	$350.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $40.94 / $66.95	Professional		$25.00	$40.94	$66.95