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 $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $23.44 / $30.20	Professional		$10.47	$23.44	$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 $14.45 / $19.95 / $26.30	Facility		$14.45	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $47.86	Professional		$8.91	$11.75	$47.86