Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $210.25 / $263.14 / $437.22	Facility		$210.25	$263.14	$437.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.69 / $318.52 / $377.46	Facility		$292.69	$318.52	$377.46