Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $2,481.86 / $8,102.40	Facility		$798.00	$2,481.86	$8,102.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,835.50 / $5,160.84 / $15,620.00	Professional		$4,835.50	$5,160.84	$15,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,160.84 / $5,160.84 / $5,160.84	Facility		$5,160.84	$5,160.84	$5,160.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,160.84 / $5,160.84	Facility		$100.00	$5,160.84	$5,160.84
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 $5,160.84 / $5,160.84 / $5,160.84	Facility		$5,160.84	$5,160.84	$5,160.84
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
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91