Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $17,782.79	Facility		$660.69	$660.69	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,801.89 / $6,309.57	Facility		$660.69	$3,801.89	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54