Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.29 / $1,190.25 / $1,961.69	Facility		$617.29	$1,190.25	$1,961.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.13 / $1,500.00 / $2,020.54	Facility		$1,011.13	$1,500.00	$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 $295.75 / $298.43 / $319.62	Facility		$295.75	$298.43	$319.62
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92