Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $237.75	Professional		$117.95	$237.75	$237.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.10 / $20.32	Professional		$5.00	$20.10	$20.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $447.24	Facility		$237.75	$237.75	$447.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $237.75 / $447.24	Facility		$155.18	$237.75	$447.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $356.63	Facility		$237.75	$237.75	$356.63