Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,679.39 / $6,679.39 / $6,679.39	Facility		$6,679.39	$6,679.39	$6,679.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,345.42 / $7,013.36 / $8,349.24	Professional		$6,345.42	$7,013.36	$8,349.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,100.22 / $1,512.42 / $7,172.03	Facility		$1,100.22	$1,512.42	$7,172.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,088.54 / $1,100.22 / $1,512.42	Professional		$1,088.54	$1,100.22	$1,512.42
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 $934.64 / $1,168.07 / $1,560.88	Professional		$934.64	$1,168.07	$1,560.88