Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $73.08	Professional		$30.00	$60.00	$73.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $742.00	Facility		$700.00	$700.00	$742.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.46 / $70.00	Professional		$50.00	$58.46	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $742.00	Facility		$700.00	$700.00	$742.00