Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $835.00 / $1,407.00	Facility		$491.87	$835.00	$1,407.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $10,000.00 / $13,731.60	Facility		$382.00	$10,000.00	$13,731.60
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $1,750.00 / $1,750.00	Facility		$1,750.00	$1,750.00	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $704.00 / $1,385.00	Facility		$478.00	$704.00	$1,385.00