Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $253.21 / $543.03	Facility		$125.42	$253.21	$543.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,125.07 / $1,125.07 / $1,125.07	Facility		$1,125.07	$1,125.07	$1,125.07