Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $25.70 / $25.70	Professional		$10.23	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $162.18	Professional		$125.89	$144.54	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $77.62	Facility		$26.30	$47.86	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $26,915.35	Facility		$26.30	$47.86	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $26,915.35	Facility		$64.57	$64.57	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $32.36	Professional		$25.12	$29.51	$32.36