Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $162.18 / $218.78	Professional		$50.12	$162.18	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $501.19	Facility		$288.40	$467.74	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $616.60	Professional		$281.84	$380.19	$616.60