Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $66.40 / $66.40	Professional		$66.40	$66.40	$66.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.15 / $38.96	Professional		$30.00	$30.15	$38.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $72.22 / $115.57	Facility		$54.33	$72.22	$115.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $36.11 / $45.15	Professional		$18.05	$36.11	$45.15
United Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $61.35 / $96.11	Professional		$50.53	$61.35	$96.11