Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $216.80	Professional		$45.76	$45.76	$216.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $48.17	Facility		$45.76	$45.76	$48.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $1,443.40	Facility		$45.76	$45.76	$1,443.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
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 $45.76 / $45.76 / $48.17	Facility		$45.76	$45.76	$48.17