Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,695.92 / $9,227.43 / $14,658.34	Facility		$4,695.92	$9,227.43	$14,658.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $600.75 / $632.82 / $1,025.68	Facility		$600.75	$632.82	$1,025.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,935.14 / $3,935.14 / $3,935.14	Professional		$3,935.14	$3,935.14	$3,935.14
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 $664.67 / $917.24 / $1,706.82	Professional		$664.67	$917.24	$1,706.82