Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $82.50	Professional		$82.50	$82.50	$82.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.40 / $204.40 / $204.40	Facility		$204.40	$204.40	$204.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.40 / $204.40 / $204.40	Facility		$204.40	$204.40	$204.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.40 / $204.40 / $204.40	Facility		$204.40	$204.40	$204.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50