Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $197.87 / $254.60	Facility		$141.05	$197.87	$254.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $189.28 / $317.39	Facility		$103.70	$189.28	$317.39