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 $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $4,000.00 / $13,731.60	Facility		$382.00	$4,000.00	$13,731.60