Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $91.20	Professional		$25.12	$40.74	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $190.55	Professional		$95.50	$120.23	$190.55
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 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 $25.12 / $67.61 / $147.91	Professional		$25.12	$67.61	$147.91