Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $149.50	Facility		$7.54	$7.54	$149.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $825.60	Professional		$7.54	$7.54	$825.60
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 $7.54 / $7.54 / $9.43	Facility		$7.54	$7.54	$9.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $23.00	Facility		$7.54	$7.54	$23.00
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 $7.54 / $7.54 / $9.43	Facility		$7.54	$7.54	$9.43
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25