Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $59.16 / $85.00	Professional		$32.88	$59.16	$85.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $137.71 / $137.71	Facility		$136.38	$137.71	$137.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $136.38 / $177.31	Professional		$115.93	$136.38	$177.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $100.43 / $128.10	Professional		$100.43	$100.43	$128.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00