Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $50.83	Facility		$20.32	$20.32	$50.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $69.47 / $123.54	Facility		$50.45	$69.47	$123.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $46.64 / $55.97	Professional		$44.31	$46.64	$55.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $37.61 / $50.83	Facility		$20.32	$37.61	$50.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $37.61	Professional		$20.32	$20.32	$37.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00