Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $69.18	Professional		$19.95	$25.12	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $70.79	Professional		$41.69	$45.71	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $27.54	Facility		$15.14	$22.91	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.84	Professional		$25.12	$25.12	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $100.00	Professional		$50.12	$60.26	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $74.13	Professional		$41.69	$50.12	$74.13