Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $217.46 / $217.46	Facility		$178.75	$217.46	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $217.46 / $1,120.00	Professional		$60.00	$217.46	$1,120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $343.12	Professional		$225.00	$225.00	$343.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $217.46 / $217.46	Facility		$60.00	$217.46	$217.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $217.46 / $217.46	Facility		$60.00	$217.46	$217.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25
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 $60.00 / $217.46 / $217.46	Facility		$60.00	$217.46	$217.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $368.74 / $368.74	Professional		$368.74	$368.74	$368.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $368.74 / $368.74	Professional		$368.74	$368.74	$368.74
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25