Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Facility		$91.66	$91.66	$91.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $270.83 / $308.51	Professional		$238.98	$270.83	$308.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $137.49	Facility		$91.66	$91.66	$137.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $164.99	Facility		$91.66	$91.66	$164.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $137.49	Facility		$91.66	$91.66	$137.49