Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $516.79	Facility		$206.72	$206.72	$516.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.14 / $1,557.82 / $2,770.22	Facility		$1,131.14	$1,557.82	$2,770.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.51 / $1,045.80 / $1,254.96	Professional		$993.51	$1,045.80	$1,254.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $382.43 / $516.79	Facility		$206.72	$382.43	$516.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $382.43	Professional		$206.72	$206.72	$382.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00