Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $30.20	Professional		$10.47	$19.50	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $39.81	Professional		$19.95	$19.95	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $25.12	Facility		$12.59	$19.05	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $41.69	Professional		$8.71	$10.47	$41.69