Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $293.02 / $492.21	Facility		$107.57	$293.02	$492.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $192.07 / $350.20	Facility		$110.00	$192.07	$350.20