Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $232.33 / $425.03	Facility		$157.57	$232.33	$425.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $207.57 / $363.40	Facility		$114.82	$207.57	$363.40