Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $176.79 / $218.93	Facility		$176.79	$176.79	$218.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $122.00 / $125.18	Facility		$90.00	$122.00	$125.18
Molina Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $100.00	Facility		$12.50	$12.50	$100.00