Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $112.20	Facility		$3.44	$3.44	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $203.97	Facility		$3.44	$3.44	$203.97
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 $3.44 / $3.44 / $112.20	Facility		$3.44	$3.44	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
United Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $203.97 / $263.01	Facility		$203.97	$203.97	$263.01