Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $37,153.52 / $46,773.51	Facility		$1,621.81	$37,153.52	$46,773.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $11,748.98	Professional		$1,621.81	$1,621.81	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,511.89	Facility		$1,621.81	$1,621.81	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,951.21	Facility		$1,621.81	$1,621.81	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Professional		$54.95	$60.26	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00