Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $112.32	Professional		$78.12	$112.32	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $21.22	Professional		$2.00	$2.00	$21.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $112.32 / $130.69	Facility		$102.51	$112.32	$130.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $112.32 / $140.40	Facility		$83.00	$112.32	$140.40
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 $107.90 / $112.32 / $140.40	Facility		$107.90	$112.32	$140.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00