Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $239.37	Facility		$239.37	$239.37	$239.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $239.37 / $1,125.84	Professional		$239.37	$239.37	$1,125.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $659.93	Facility		$239.37	$239.37	$659.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $1,125.84	Facility		$239.37	$239.37	$1,125.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $448.80 / $448.80	Professional		$448.80	$448.80	$448.80
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 $239.37 / $239.37 / $659.93	Facility		$239.37	$239.37	$659.93
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 $448.80 / $448.80 / $448.80	Professional		$448.80	$448.80	$448.80