Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $831.76	Professional		$95.50	$151.36	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Facility		$263.03	$263.03	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $741.31	Professional		$309.03	$389.05	$741.31