Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $1,412.54	Facility		$128.82	$251.19	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $204.17 / $478.63	Facility		$67.61	$204.17	$478.63