Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $5,639.25 / $9,764.79	Facility		$402.32	$5,639.25	$9,764.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $4,972.50	Professional		$402.32	$402.32	$4,972.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $724.18	Facility		$402.32	$402.32	$724.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $563.25 / $1,874.50	Facility		$402.32	$563.25	$1,874.50
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 $402.32 / $402.32 / $724.18	Facility		$402.32	$402.32	$724.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $104.42 / $1,874.50	Facility		$65.00	$104.42	$1,874.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93