Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $190.55	Facility		$44.67	$104.71	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $302.00	Facility		$74.13	$204.17	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $93.33	Facility		$79.43	$93.33	$93.33