Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $287.56 / $14,482.00	Facility		$287.56	$287.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $798.15	Professional		$287.56	$287.56	$798.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $287.56 / $287.56	Facility		$232.04	$287.56	$287.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $2,695.00 / $4,793.00	Facility		$287.56	$2,695.00	$4,793.00
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 $241.11 / $287.56 / $287.56	Facility		$241.11	$287.56	$287.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,295.00	Facility		$2,367.00	$2,910.00	$4,295.00