Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $478.63	Professional		$199.53	$245.47	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Professional		$275.42	$275.42	$331.13
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 $141.25 / $251.19 / $416.87	Professional		$141.25	$251.19	$416.87