Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Facility		$77.91	$77.91	$77.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $119.42	Facility		$77.91	$77.91	$119.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $119.42	Facility		$77.91	$77.91	$119.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $119.42	Facility		$77.91	$77.91	$119.42