Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $159.81	Professional		$64.00	$64.00	$159.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $64.00 / $275.66	Facility		$61.55	$64.00	$275.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $64.00 / $275.66	Facility		$61.55	$64.00	$275.66
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 $64.00 / $64.00 / $275.66	Facility		$64.00	$64.00	$275.66