Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $309.03	Facility		$120.23	$173.78	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $660.69 / $660.69	Facility		$204.17	$660.69	$660.69