Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,152.83 / $7,152.83 / $42,075.47	Facility		$7,152.83	$7,152.83	$42,075.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,152.83 / $43,758.49 / $46,800.52	Professional		$7,152.83	$43,758.49	$46,800.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $4,933.00 / $4,933.00	Facility		$115.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $329.82 / $806.65	Professional		$115.71	$329.82	$806.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $156.81 / $1,179.02	Professional		$130.66	$156.81	$1,179.02