Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $288.00 / $288.00	Facility		$288.00	$288.00	$288.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $441.15 / $441.15	Facility		$441.15	$441.15	$441.15