Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $181.97 / $588.84	Facility		$165.96	$181.97	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $257.04 / $776.25	Professional		$30.20	$257.04	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $512.86 / $3,311.31	Professional		$95.50	$512.86	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $707.95	Facility		$537.03	$537.03	$707.95