Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $158.49	Professional		$83.18	$87.10	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $89.13	Facility		$85.11	$87.10	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $275.42	Facility		$85.11	$87.10	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38