Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $221.34	Professional		$184.38	$184.38	$221.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $208.14	Facility		$184.38	$184.38	$208.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $2,220.26	Facility		$184.38	$184.38	$2,220.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Professional		$87.73	$87.73	$87.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $208.14	Facility		$184.38	$184.38	$208.14