Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $891.25 / $1,621.81	Facility		$794.33	$891.25	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $346.74 / $912.01	Facility		$75.86	$346.74	$912.01