Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $51.88 / $51.88	Facility		$51.88	$51.88	$51.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $80.26 / $98.94	Professional		$51.88	$80.26	$98.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $70.70 / $79.30	Professional		$57.73	$70.70	$79.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $197.91 / $256.79	Facility		$95.78	$197.91	$256.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.79 / $256.79 / $395.46	Facility		$256.79	$256.79	$395.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $179.35 / $256.79	Facility		$95.78	$179.35	$256.79
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $138.11 / $296.00	Professional		$90.78	$138.11	$296.00