Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,347.42 / $11,886.53 / $19,507.71	Facility		$6,347.42	$11,886.53	$19,507.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.42 / $1,090.42 / $1,090.42	Professional		$1,090.42	$1,090.42	$1,090.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,285.56 / $1,512.42 / $3,012.86	Facility		$1,285.56	$1,512.42	$3,012.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,336.16 / $6,336.16 / $6,336.16	Professional		$6,336.16	$6,336.16	$6,336.16
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 $775.71 / $1,087.89 / $2,328.37	Professional		$775.71	$1,087.89	$2,328.37