Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $254.13 / $968.74	Facility		$119.75	$254.13	$968.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.06 / $191.06 / $191.06	Facility		$191.06	$191.06	$191.06