Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,215.47 / $3,215.47 / $3,215.47	Facility		$3,215.47	$3,215.47	$3,215.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,054.70 / $3,344.09 / $4,340.88	Professional		$3,054.70	$3,344.09	$4,340.88
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 / $151.72 / $647.87	Professional		$115.71	$151.72	$647.87
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 $132.94 / $156.81 / $253.70	Professional		$132.94	$156.81	$253.70