Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $309.01	Facility		$150.50	$150.50	$309.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $207.76 / $420.18	Facility		$164.37	$207.76	$420.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00