Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $331.57 / $331.57	Professional		$186.80	$331.57	$331.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $37.50	Facility		$30.00	$30.00	$37.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Facility		$30.00	$30.00	$1,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $37.50	Facility		$30.00	$30.00	$37.50