Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $395.55 / $665.09	Facility		$184.52	$395.55	$665.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $162.76 / $295.60	Facility		$159.85	$162.76	$295.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $197.21 / $197.21	Professional		$197.21	$197.21	$197.21
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 Facility Modifier Low / Median / High Price $193.56 / $195.31 / $209.18	Facility		$193.56	$195.31	$209.18
United Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $228.42 / $338.40	Professional		$161.22	$228.42	$338.40