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 $92.88 / $4,933.00 / $4,933.00	Facility		$92.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $249.13 / $326.68	Professional		$92.88	$249.13	$326.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $323.22 / $397.44	Professional		$135.55	$323.22	$397.44