Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Facility		$25.47	$25.47	$25.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $33.79	Professional		$25.47	$25.47	$33.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $155.19	Professional		$155.19	$155.19	$155.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $45.85	Facility		$25.47	$25.47	$45.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $76.00	Facility		$25.47	$25.47	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $45.85	Facility		$25.47	$25.47	$45.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $155.19	Professional		$155.19	$155.19	$155.19