Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Professional		$33.97	$33.97	$33.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.17 / $54.00	Facility		$27.93	$32.17	$54.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.66 / $17.91	Professional		$8.33	$16.66	$17.91
United Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $31.59 / $40.14	Professional		$26.25	$31.59	$40.14