Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,376.89 / $6,376.89 / $6,376.89	Facility		$6,376.89	$6,376.89	$6,376.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $660.98 / $660.98	Professional		$660.98	$660.98	$660.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.98 / $660.98 / $660.98	Facility		$660.98	$660.98	$660.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $660.98 / $660.98	Facility		$100.00	$660.98	$660.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $660.98 / $660.98 / $660.98	Facility		$660.98	$660.98	$660.98
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 / $100.00	Facility		$65.00	$65.00	$100.00