Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $269.76	Professional		$240.00	$240.00	$269.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $300.00	Facility		$240.00	$240.00	$300.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.76 / $3,839.00 / $9,547.50	Facility		$269.76	$3,839.00	$9,547.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $761.46 / $1,239.13	Professional		$304.08	$761.46	$1,239.13
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 $240.00 / $240.00 / $300.00	Facility		$240.00	$240.00	$300.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $767.80 / $1,239.13	Professional		$302.57	$767.80	$1,239.13