Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $542.63	Facility		$376.69	$376.69	$542.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Professional		$376.69	$376.69	$376.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Facility		$376.69	$376.69	$376.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $848.11 / $848.11	Facility		$376.69	$848.11	$848.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $376.69 / $376.69	Facility		$376.69	$376.69	$376.69