Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $173.78	Professional		$89.13	$89.13	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $141.25	Facility		$91.20	$91.20	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $162.18	Facility		$72.44	$91.20	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Facility		$77.62	$77.62	$102.33