Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,679.72 / $3,860.12 / $11,427.00	Facility		$3,679.72	$3,860.12	$11,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Facility		$1,545.58	$1,545.58	$1,545.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,545.58 / $1,545.58	Facility		$100.00	$1,545.58	$1,545.58
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 $1,545.58 / $1,545.58 / $1,545.58	Facility		$1,545.58	$1,545.58	$1,545.58
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 $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66