Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $141.25	Professional		$95.50	$95.50	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $208.93	Facility		$158.49	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $173.78	Professional		$69.18	$109.65	$173.78