Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $116.91 / $254.33	Facility		$44.90	$116.91	$254.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $214.97 / $420.00	Facility		$214.97	$214.97	$420.00