Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $54.90 / $54.90	Facility		$54.90	$54.90	$54.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $55.51 / $58.56	Facility		$55.51	$55.51	$58.56