Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Facility		$26.00	$26.00	$26.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $100.00	Facility		$17.00	$17.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $95.00 / $135.00	Professional		$17.00	$95.00	$135.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $91.00	Facility		$26.00	$26.00	$91.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $103.00	Professional		$26.00	$26.00	$103.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00