Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.74 / $568.76 / $1,091.33	Facility		$300.74	$568.76	$1,091.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $47.04 / $47.04	Facility		$47.04	$47.04	$47.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $47.04 / $63.50	Professional		$47.04	$47.04	$63.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00