Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $1,047.13	Facility		$194.98	$524.81	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $162.18 / $436.52	Facility		$58.88	$162.18	$436.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,698.24	Facility		$1,380.38	$1,445.44	$1,698.24