Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $174.15 / $270.55	Facility		$67.70	$174.15	$270.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.65 / $138.60 / $296.63	Facility		$130.65	$138.60	$296.63