Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $138.04	Facility		$100.00	$131.83	$138.04