Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.85 / $337.85 / $337.85	Facility		$337.85	$337.85	$337.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $51.00 / $400.18	Professional		$0.23	$51.00	$400.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $5.75	Professional		$2.87	$2.87	$5.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $20.02 / $120.00	Facility		$0.23	$20.02	$120.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $31.63 / $782.20	Facility		$0.23	$31.63	$782.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $45.68 / $45.68	Professional		$12.77	$45.68	$45.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $20.02 / $120.00	Facility		$0.23	$20.02	$120.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $760.00	Facility		$65.00	$65.00	$760.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77