Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $146.29 / $146.29	Facility		$146.29	$146.29	$146.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $153.60 / $182.86	Professional		$138.97	$153.60	$182.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $73.98 / $73.98	Facility		$50.90	$73.98	$73.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $73.98 / $92.38	Professional		$50.90	$73.98	$92.38
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 $58.28 / $77.08 / $119.99	Professional		$58.28	$77.08	$119.99