Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.79	Professional		$118.13	$130.08	$130.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $130.08 / $156.10	Facility		$124.56	$130.08	$156.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.13 / $130.08 / $162.60	Facility		$118.13	$130.08	$162.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $388.34	Professional		$50.00	$65.00	$388.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $130.08 / $162.60	Facility		$124.56	$130.08	$162.60
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 $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17