Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $273.45 / $273.45	Facility		$178.75	$273.45	$273.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $273.45 / $1,120.00	Professional		$224.72	$273.45	$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 $216.00 / $273.45 / $273.45	Facility		$216.00	$273.45	$273.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $273.45 / $273.45	Facility		$216.00	$273.45	$273.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $324.11 / $324.11	Professional		$324.11	$324.11	$324.11
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 $216.00 / $273.45 / $273.45	Facility		$216.00	$273.45	$273.45
United Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $324.11 / $324.11	Professional		$324.11	$324.11	$324.11