Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $260.01	Facility		$200.00	$200.00	$260.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $411.25	Professional		$260.01	$260.01	$411.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $9.76 / $89.83	Professional		$9.76	$9.76	$89.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $260.01 / $263.52	Facility		$253.76	$260.01	$263.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $260.01 / $19,546.53	Facility		$253.76	$260.01	$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 $253.76 / $260.01 / $263.52	Facility		$253.76	$260.01	$263.52