Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.88 / $21.88	Professional		$10.23	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $194.98	Professional		$154.88	$173.78	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $77.62	Facility		$22.39	$40.74	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $26,915.35	Facility		$22.39	$40.74	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $2,398.83	Professional		$50.12	$54.95	$2,398.83
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $18.20	Professional		$14.13	$16.60	$18.20