Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.12	Facility		$93.11	$93.11	$93.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $76.48 / $93.12	Professional		$68.98	$76.48	$93.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $207.54	Professional		$199.56	$199.56	$207.54