Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $72.44	Facility		$14.79	$14.79	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $446.68	Facility		$14.79	$14.79	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00