Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $90.48	Facility		$90.48	$90.48	$90.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $90.48 / $514.90	Professional		$90.48	$90.48	$514.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $135.72	Facility		$90.48	$90.48	$135.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $141.94	Facility		$90.48	$90.48	$141.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $401.40 / $414.78	Professional		$401.40	$401.40	$414.78
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 $90.48 / $90.48 / $135.72	Facility		$90.48	$90.48	$135.72