Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.26 / $18.23	Facility		$4.34	$9.26	$18.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.19 / $4.13	Professional		$2.92	$3.19	$4.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00