Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00