Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $655.61 / $14,482.00	Facility		$655.61	$655.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $1,383.34	Professional		$655.61	$655.61	$1,383.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $655.61 / $690.12	Facility		$655.61	$655.61	$690.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $3,787.56 / $6,312.00	Facility		$655.61	$3,787.56	$6,312.00
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 $655.61 / $655.61 / $690.12	Facility		$655.61	$655.61	$690.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,865.00	Facility		$2,976.00	$3,827.00	$5,865.00