Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.26 / $951.26 / $951.26	Facility		$951.26	$951.26	$951.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.70 / $998.82 / $1,189.08	Professional		$903.70	$998.82	$1,189.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,200.18 / $1,200.18 / $4,933.00	Professional		$1,200.18	$1,200.18	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00