Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $371.54	Facility		$120.23	$204.17	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $346.74	Facility		$109.65	$190.55	$346.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $147.91	Facility		$125.89	$147.91	$147.91