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 $73.98 / $73.98 / $4,013.76	Facility		$73.98	$73.98	$4,013.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $77.81 / $4,013.76	Professional		$72.65	$77.81	$4,013.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $82.18 / $119.99	Professional		$67.47	$82.18	$119.99