Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,961.62 / $7,961.62 / $7,961.62	Facility		$7,961.62	$7,961.62	$7,961.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,775.00 / $7,961.62 / $7,961.62	Professional		$3,775.00	$7,961.62	$7,961.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $7,961.62 / $14,330.92	Facility		$3,775.00	$7,961.62	$14,330.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,913.52 / $7,961.62 / $12,181.28	Facility		$5,913.52	$7,961.62	$12,181.28
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 $3,775.00 / $7,961.62 / $14,330.92	Facility		$3,775.00	$7,961.62	$14,330.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $5,913.52	Facility		$65.00	$65.00	$5,913.52