Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $368.46	Facility		$200.00	$200.00	$368.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $379.59	Professional		$368.46	$368.46	$379.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $89.83 / $89.83	Professional		$50.61	$89.83	$89.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Facility		$368.46	$368.46	$368.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $368.46 / $19,546.53	Facility		$368.46	$368.46	$19,546.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Facility		$368.46	$368.46	$368.46
United Facility/Professional Facility Modifier Low / Median / High Price $19,546.53 / $19,546.53 / $25,204.74	Facility		$19,546.53	$19,546.53	$25,204.74