Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $230.75	Facility		$132.88	$132.88	$230.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $228.75	Professional		$150.00	$150.00	$228.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Facility		$132.88	$132.88	$231.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Facility		$132.88	$132.88	$231.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,000.00	Professional		$50.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Facility		$132.88	$132.88	$231.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14