Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $96.10 / $188.00	Professional		$69.13	$96.10	$188.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $96.10 / $105.71	Facility		$83.38	$96.10	$105.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $96.10 / $120.13	Facility		$77.00	$96.10	$120.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $188.29	Professional		$50.00	$65.00	$188.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $96.10 / $120.13	Facility		$83.38	$96.10	$120.13
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 $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93