Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $19.95	Professional		$10.00	$15.85	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $64.57	Professional		$37.15	$40.74	$64.57
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 $10.00 / $37.15 / $53.70	Professional		$10.00	$37.15	$53.70