Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $64.00 / $82.24	Professional		$41.55	$64.00	$82.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.98 / $186.98 / $186.98	Facility		$186.98	$186.98	$186.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $196.33 / $252.42	Professional		$177.63	$196.33	$252.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $67.02 / $79.17	Professional		$62.77	$67.02	$79.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $72.43 / $91.83	Professional		$61.33	$72.43	$91.83