Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $99.00	Professional		$0.80	$0.80	$99.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $105.55 / $192.23	Facility		$52.98	$105.55	$192.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $35.00 / $47.25	Professional		$33.25	$35.00	$47.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Facility		$0.80	$0.80	$0.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $2.39	Professional		$0.80	$0.80	$2.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04