Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $660.69	Professional		$239.88	$239.88	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $660.69	Facility		$239.88	$239.88	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $660.69	Facility		$100.00	$239.88	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $70.79	Professional		$54.95	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $389.05	Facility		$64.57	$64.57	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68