Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,245.88 / $1,245.88 / $1,245.88	Facility		$1,245.88	$1,245.88	$1,245.88
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 / $1,245.88	Facility		$65.00	$65.00	$1,245.88