Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $194.78	Facility		$77.91	$77.91	$194.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.11 / $613.02 / $1,090.09	Facility		$445.11	$613.02	$1,090.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.95 / $411.53 / $493.84	Professional		$390.95	$411.53	$493.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $144.13 / $194.78	Facility		$77.91	$144.13	$194.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $119.42	Professional		$77.91	$77.91	$119.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00