Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Professional		$81.28	$81.28	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $114.82	Facility		$54.95	$74.13	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $107.15	Professional		$64.57	$91.20	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $69.18	Professional		$50.12	$50.12	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $77.62	Professional		$23.99	$44.67	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $112.20	Professional		$48.98	$61.66	$112.20