Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.96 / $94.96	Facility		$80.00	$94.96	$94.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $298.92 / $529.78	Facility		$200.02	$298.92	$529.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $200.00 / $270.00	Professional		$190.00	$200.00	$270.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.96 / $94.96	Facility		$80.00	$94.96	$94.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $194.00	Professional		$80.00	$80.00	$194.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00