Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.71	Professional		$1.71	$1.71	$1.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $2.10	Facility		$0.02	$0.02	$2.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $3,630.00	Professional		$55.00	$70.00	$3,630.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $2.10	Facility		$0.02	$0.02	$2.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $129.80 / $129.80	Facility		$65.00	$129.80	$129.80