Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Facility		$20.32	$20.32	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $20.32 / $52.59	Facility		$19.21	$20.32	$52.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $20.32 / $52.59	Facility		$19.21	$20.32	$52.59
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 $19.21 / $20.32 / $52.59	Facility		$19.21	$20.32	$52.59