Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $68.13	Facility		$68.13	$68.13	$68.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $68.13 / $88.71	Professional		$68.13	$68.13	$88.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $68.13 / $122.63	Facility		$59.73	$68.13	$122.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $68.13 / $104.24	Facility		$59.73	$68.13	$104.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $68.13 / $122.63	Facility		$59.73	$68.13	$122.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $69.23 / $90.00	Facility		$65.00	$69.23	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29