Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $66.07	Professional		$53.70	$57.54	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $18.20	Facility		$10.00	$10.00	$18.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.20 / $89.13	Facility		$10.00	$18.20	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $2,754.23	Professional		$50.12	$58.88	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $89.13	Facility		$45.71	$45.71	$89.13