Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.12 / $1,627.12 / $1,627.12	Facility		$1,627.12	$1,627.12	$1,627.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $44.84 / $79.47	Facility		$32.64	$44.84	$79.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,627.12 / $1,627.12 / $1,627.12	Facility		$1,627.12	$1,627.12	$1,627.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00