Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $428.35 / $656.84 / $864.56	Facility		$428.35	$656.84	$864.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $556.11 / $556.11	Facility		$15.00	$556.11	$556.11