Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $107.14 / $131.34	Facility		$107.14	$107.14	$131.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $125.18 / $160.00	Facility		$90.00	$125.18	$160.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $110.00	Facility		$12.50	$12.50	$110.00