Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $4.34 / $9.13	Facility		$1.57	$4.34	$9.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.00 / $20.90	Professional		$2.54	$3.00	$20.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $162.46 / $162.46	Facility		$2.31	$162.46	$162.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $162.46	Facility		$65.00	$65.00	$162.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07