Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $89.20	Professional		$66.00	$66.00	$89.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $142.26 / $160.75	Facility		$112.64	$142.26	$160.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $142.26 / $177.83	Facility		$110.15	$142.26	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $87.00	Professional		$50.00	$60.00	$87.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $142.26 / $177.83	Facility		$130.51	$142.26	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00