Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $160.75	Professional		$88.00	$88.00	$160.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $88.00 / $89.28	Facility		$84.27	$88.00	$89.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $88.00 / $275.79	Facility		$84.27	$88.00	$275.79
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 $88.00 / $88.00 / $89.28	Facility		$88.00	$88.00	$89.28