Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Facility		$548.86	$548.86	$548.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $548.86 / $548.86	Facility		$100.00	$548.86	$548.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,240.00	Professional		$4,800.00	$4,800.00	$6,240.00
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 $548.86 / $548.86 / $548.86	Facility		$548.86	$548.86	$548.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $6,048.00	Professional		$4,800.00	$4,800.00	$6,048.00