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 $263.43 / $6,408.27 / $6,490.40	Facility		$263.43	$6,408.27	$6,490.40
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 $58.73 / $71.90 / $106.03	Professional		$58.73	$71.90	$106.03