Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $1,820.00	Professional		$640.00	$640.00	$1,820.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $52.00 / $67.50	Professional		$47.50	$52.00	$67.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $640.00 / $965.00	Professional		$51.50	$640.00	$965.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00