Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $304.14 / $474.14	Facility		$163.72	$304.14	$474.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $53.65 / $64.53	Facility		$49.64	$53.65	$64.53
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 $47.24 / $56.81 / $85.22	Professional		$47.24	$56.81	$85.22