Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $3,503.73 / $5,983.01	Facility		$11.16	$3,503.73	$5,983.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $2,128.17	Professional		$11.16	$11.16	$2,128.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $1,041.46	Facility		$11.16	$11.16	$1,041.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $2,128.17	Facility		$11.16	$11.16	$2,128.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.79 / $578.79 / $578.79	Professional		$578.79	$578.79	$578.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $1,041.46	Facility		$11.16	$11.16	$1,041.46
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 / $100.00 / $418.24	Facility		$65.00	$100.00	$418.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $578.79 / $578.79	Professional		$225.00	$578.79	$578.79