Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.53 / $771.79 / $1,346.50	Facility		$547.53	$771.79	$1,346.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $508.32 / $659.84	Professional		$464.33	$508.32	$659.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $498.02	Professional		$30.00	$30.00	$498.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00