Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $154.53 / $236.60 / $299.49	Facility		$154.53	$236.60	$299.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $133.83 / $133.83	Facility		$133.83	$133.83	$133.83