Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,895.14 / $8,556.89 / $13,947.14	Facility		$3,895.14	$8,556.89	$13,947.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.91 / $292.62	Facility		$78.12	$78.91	$292.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,955.84 / $2,955.84 / $2,955.84	Professional		$2,955.84	$2,955.84	$2,955.84
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 $104.29 / $168.71 / $349.70	Professional		$104.29	$168.71	$349.70