Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $122.42	Facility		$122.42	$122.42	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $124.87	Professional		$99.11	$122.42	$124.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $122.42 / $134.66	Facility		$108.37	$122.42	$134.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $122.42 / $153.03	Facility		$102.54	$122.42	$153.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $555.64	Professional		$50.00	$65.00	$555.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $122.42 / $153.03	Facility		$108.37	$122.42	$153.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85