Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $705.04 / $955.87 / $2,866.92	Facility		$705.04	$955.87	$2,866.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $350.20 / $907.12	Facility		$76.16	$350.20	$907.12