Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.56 / $5,263.12 / $8,868.89	Facility		$2,712.56	$5,263.12	$8,868.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $107.32 / $218.12	Facility		$104.88	$107.32	$218.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $179.32 / $314.14	Professional		$108.68	$179.32	$314.14