Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
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 $50.00 / $65.00 / $2,366.76	Professional		$50.00	$65.00	$2,366.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $493.74 / $493.74	Facility		$65.00	$493.74	$493.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77