Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $383.53 / $1,538.13	Facility		$95.03	$383.53	$1,538.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $350.20 / $907.12	Facility		$76.16	$350.20	$907.12