Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $199.53	Professional		$186.21	$199.53	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $467.74	Professional		$194.98	$245.47	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $323.59	Professional		$275.42	$275.42	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $407.38	Professional		$134.90	$245.47	$407.38