Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $126.67 / $126.67	Facility		$90.48	$126.67	$126.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $93.38 / $97.33	Professional		$90.48	$93.38	$97.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $68.84 / $134.51	Facility		$37.35	$68.84	$134.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $213.76 / $213.76	Facility		$90.48	$213.76	$213.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $97.32 / $107.06	Professional		$90.48	$97.32	$107.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00