Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $96.23 / $150.87	Facility		$47.14	$96.23	$150.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $94.00 / $187.50	Professional		$38.14	$94.00	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $41.65 / $85.00	Facility		$36.40	$41.65	$85.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Facility		$65.00	$65.00	$85.00