Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $5,011.87	Facility		$1,071.52	$1,348.96	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $13,803.84 / $13,803.84	Facility		$100.00	$13,803.84	$13,803.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,019.95	Facility		$2,570.40	$2,570.40	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25