Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $292.51 / $441.30	Facility		$164.56	$292.51	$441.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $281.35 / $378.82	Facility		$177.00	$281.35	$378.82