Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $153.55 / $271.45	Facility		$92.13	$153.55	$271.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $203.23 / $286.48	Facility		$102.73	$203.23	$286.48