Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $1,947.80	Facility		$318.75	$318.75	$1,947.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.16 / $318.75 / $318.75	Professional		$280.16	$318.75	$318.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $344.35	Professional		$344.35	$344.35	$344.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $478.13	Facility		$318.75	$318.75	$478.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $573.75	Facility		$318.75	$318.75	$573.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,845.78 / $1,845.78 / $1,845.78	Professional		$1,845.78	$1,845.78	$1,845.78
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 $318.75 / $318.75 / $478.13	Facility		$318.75	$318.75	$478.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,509.07 / $1,509.07 / $1,509.07	Facility		$1,509.07	$1,509.07	$1,509.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $344.35	Professional		$344.35	$344.35	$344.35