Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $233.56 / $233.56	Facility		$233.56	$233.56	$233.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $233.56 / $2,234.60	Professional		$233.56	$233.56	$2,234.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $233.56 / $2,006.33	Facility		$233.56	$233.56	$2,006.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $233.56 / $2,234.60	Facility		$233.56	$233.56	$2,234.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,536.35 / $2,536.35 / $2,536.35	Professional		$2,536.35	$2,536.35	$2,536.35
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 $233.56 / $233.56 / $2,006.33	Facility		$233.56	$233.56	$2,006.33
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 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,536.35 / $2,536.35 / $2,536.35	Professional		$2,536.35	$2,536.35	$2,536.35