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 $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.39 / $30.20	Professional		$10.47	$22.39	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $24.55	Facility		$12.30	$18.62	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $40.74	Professional		$8.71	$10.23	$40.74