Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $812.83	Professional		$346.74	$416.87	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,454.71	Professional		$1,380.38	$1,621.81	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86