Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $361.22 / $455.37	Facility		$219.64	$361.22	$455.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.88 / $342.37 / $486.51	Facility		$184.88	$342.37	$486.51