Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $338.84	Professional		$151.36	$229.09	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $158.49	Facility		$95.50	$128.82	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $154.88	Professional		$97.72	$125.89	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $165.96	Professional		$102.33	$123.03	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $147.91	Professional		$102.33	$102.33	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $389.05	Facility		$288.40	$309.03	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $602.56	Professional		$288.40	$389.05	$602.56