Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $44.67	Facility		$25.12	$25.12	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.70 / $44.67	Facility		$25.12	$25.70	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11