Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $151.36	Facility		$147.91	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $154.88	Professional		$87.10	$125.89	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $281.84	Professional		$158.49	$186.21	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86