Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Facility		$18.07	$18.07	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $27.12	Facility		$18.07	$18.07	$27.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $32.54	Facility		$18.07	$18.07	$32.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $27.12	Facility		$18.07	$18.07	$27.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00