Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Facility		$27.78	$27.78	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $65.91	Professional		$27.78	$27.78	$65.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $29.35	Facility		$27.78	$27.78	$29.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $94.71	Facility		$27.78	$27.78	$94.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $29.35	Facility		$27.78	$27.78	$29.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96