Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Facility		$82.80	$82.80	$82.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $13.80 / $33.88	Facility		$8.93	$13.80	$33.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Facility		$82.80	$82.80	$82.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
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 $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00