Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.84 / $447.85 / $875.22	Facility		$228.84	$447.85	$875.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.16 / $111.16 / $111.16	Facility		$111.16	$111.16	$111.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $111.16 / $127.83	Professional		$111.16	$111.16	$127.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00