Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $7.54	Facility		$6.03	$6.03	$7.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $9.43	Professional		$7.54	$7.54	$9.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $89.68 / $158.93	Facility		$60.01	$89.68	$158.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $81.00	Professional		$57.00	$60.00	$81.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.03 / $53.51	Facility		$5.73	$6.03	$53.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $53.51 / $65.52	Professional		$7.54	$53.51	$65.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00