Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $73.20	Facility		$27.73	$27.73	$73.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $35.92	Professional		$27.73	$27.73	$35.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $27.73 / $27.73	Facility		$13.86	$27.73	$27.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $27.73 / $89.79	Facility		$13.86	$27.73	$89.79
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 $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73