Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $268.80 / $500.03	Facility		$133.65	$268.80	$500.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.78 / $327.39 / $412.65	Facility		$212.78	$327.39	$412.65