Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $68.53 / $92.52	Professional		$65.09	$68.53	$92.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $60.60	Professional		$25.00	$25.00	$60.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00