Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $113.75 / $113.75	Facility		$113.75	$113.75	$113.75