Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $17.28 / $17.28	Facility		$8.00	$17.28	$17.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.19 / $310.19 / $310.19	Professional		$310.19	$310.19	$310.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $11.20	Facility		$8.00	$8.00	$11.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $334.05 / $334.05	Professional		$334.05	$334.05	$334.05
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 $8.00 / $8.00 / $8.80	Facility		$8.00	$8.00	$8.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $334.05	Facility		$65.00	$65.00	$334.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.19 / $334.05 / $334.05	Professional		$310.19	$334.05	$334.05