Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $3.75	Facility		$0.02	$0.02	$3.75
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 / $125.67	Professional		$50.00	$65.00	$125.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $3.75	Facility		$0.02	$0.02	$3.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $68.36 / $68.36	Facility		$65.00	$68.36	$68.36