Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $50.49	Facility		$50.49	$50.49	$50.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $50.49 / $55.53	Professional		$23.00	$50.49	$55.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.63 / $117.68 / $221.58	Facility		$64.63	$117.68	$221.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $7.06 / $50.49	Facility		$7.06	$7.06	$50.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.87 / $50.49	Professional		$7.06	$7.87	$50.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00