Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $30,902.95	Facility		$5,011.87	$10,000.00	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $12,022.64	Professional		$3,162.28	$3,890.45	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,630.27	Professional		$1,318.26	$1,318.26	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,888.44	Facility		$3,890.45	$3,890.45	$5,888.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $15,488.17 / $19,952.62	Professional		$13,803.84	$15,488.17	$19,952.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $5,888.44	Facility		$1,318.26	$2,511.89	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Professional		$54.95	$60.26	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,370.32	Facility		$5,248.07	$5,248.07	$5,370.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26