Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $237.75	Professional		$117.95	$237.75	$237.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $135.29 / $247.57	Facility		$47.17	$135.29	$247.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $49.53 / $63.68	Professional		$42.88	$49.53	$63.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Facility		$237.75	$237.75	$237.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $237.75	Professional		$117.95	$237.75	$237.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00