Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,096.48	Professional		$257.04	$257.04	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $173.78 / $245.47	Professional		$39.81	$173.78	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $501.19	Facility		$295.12	$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