Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $178.75	Facility		$80.00	$80.00	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
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 $94.96 / $94.96 / $148.38	Facility		$94.96	$94.96	$148.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $94.96 / $148.38	Facility		$94.96	$94.96	$148.38
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 $94.96 / $94.96 / $148.38	Facility		$94.96	$94.96	$148.38
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25