Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.55 / $1,192.28 / $1,862.75	Facility		$629.55	$1,192.28	$1,862.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.13 / $1,512.90 / $2,020.54	Facility		$1,011.13	$1,512.90	$2,020.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
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 $377.12 / $377.12 / $450.87	Facility		$377.12	$377.12	$450.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92