Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $72.42 / $72.42	Professional		$51.00	$72.42	$72.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.05 / $1.05	Facility		$0.76	$1.05	$1.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.05 / $1.05	Facility		$0.76	$1.05	$1.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $87.20 / $125.32	Professional		$65.40	$87.20	$125.32
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 $0.76 / $1.05 / $1.05	Facility		$0.76	$1.05	$1.05
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $65.40 / $125.35	Professional		$43.60	$65.40	$125.35