Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $234.42	Facility		$91.20	$144.54	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $288.40	Facility		$102.33	$204.17	$288.40