Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $352.94 / $352.94 / $352.94	Facility		$352.94	$352.94	$352.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $352.94 / $458.82	Professional		$352.94	$352.94	$458.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00