Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $331.13	Professional		$288.40	$288.40	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $380.19	Professional		$331.13	$331.13	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $416.87	Professional		$114.82	$251.19	$416.87