Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $4,933.00 / $4,933.00	Facility		$19.29	$4,933.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $39.75	Facility		$0.02	$0.06	$39.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $4,933.00 / $4,933.00	Facility		$19.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Professional		$4,933.00	$4,933.00	$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