Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Professional		$65.91	$65.91	$65.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $94.71	Facility		$33.83	$33.83	$94.71
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 $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83