Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $288.40	Professional		$114.82	$134.90	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $389.05 / $3,890.45	Facility		$165.96	$389.05	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $1,778.28	Professional		$234.42	$309.03	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,659.59	Facility		$1,174.90	$1,548.82	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $346.74	Professional		$131.83	$234.42	$346.74