Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $35.48	Facility		$21.88	$21.88	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $75.86	Professional		$10.23	$18.20	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $16.98	Professional		$12.59	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $19.95	Facility		$9.77	$19.50	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11