Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $126.59 / $184.14 / $271.07	Facility		$126.59	$184.14	$271.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $185.28 / $388.20	Facility		$104.54	$185.28	$388.20