Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $275.66	Professional		$64.00	$64.00	$275.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $276.39 / $530.35	Facility		$146.15	$276.39	$530.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $116.00	Professional		$64.00	$64.00	$116.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00