Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $398.11	Professional		$95.50	$208.93	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $173.78	Facility		$100.00	$128.82	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $151.36	Professional		$97.72	$120.23	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Professional		$102.33	$102.33	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $467.74	Facility		$338.84	$389.05	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $676.08	Professional		$302.00	$389.05	$676.08