Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $872.00 / $872.00	Professional		$872.00	$872.00	$872.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $55.54	Facility		$55.54	$55.54	$55.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $57.76 / $74.98	Professional		$52.76	$57.76	$74.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $872.00 / $872.00	Professional		$872.00	$872.00	$872.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00