Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $265.41 / $596.24 / $1,005.50	Facility		$265.41	$596.24	$1,005.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $310.47 / $1,012.49	Facility		$256.98	$310.47	$1,012.49