Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,252.50 / $9,549.35 / $26,254.01	Facility		$5,252.50	$9,549.35	$26,254.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.17 / $4,722.00 / $9,251.04	Professional		$3,859.17	$4,722.00	$9,251.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,859.17 / $3,859.17 / $6,946.51	Facility		$3,859.17	$3,859.17	$6,946.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,747.77 / $3,859.17 / $5,904.53	Facility		$1,747.77	$3,859.17	$5,904.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,859.17 / $3,859.17 / $6,946.51	Facility		$3,859.17	$3,859.17	$6,946.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,201.30 / $5,201.30 / $5,409.35	Facility		$5,201.30	$5,201.30	$5,409.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50