Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Professional		$65.91	$65.91	$376.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.14 / $398.14 / $398.14	Facility		$398.14	$398.14	$398.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $418.05 / $537.49	Professional		$378.23	$418.05	$537.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $343.52	Professional		$65.91	$65.91	$343.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00