Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $144.65	Professional		$14.82	$14.82	$144.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $72.65	Facility		$14.82	$14.82	$72.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $178.20	Facility		$14.82	$14.82	$178.20
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 $14.82 / $14.82 / $72.65	Facility		$14.82	$14.82	$72.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77