Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $2,398.00	Facility		$2,398.00	$2,398.00	$2,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $2,453.46	Professional		$2,398.00	$2,398.00	$2,453.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,316.39	Facility		$2,398.00	$2,398.00	$4,316.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $8,259.79	Facility		$2,398.00	$2,398.00	$8,259.79
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 $2,398.00 / $2,398.00 / $4,316.39	Facility		$2,398.00	$2,398.00	$4,316.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $8,259.79	Facility		$65.00	$65.00	$8,259.79