Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $79.11 / $338.59	Facility		$23.86	$79.11	$338.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $131.97 / $145.29	Facility		$131.97	$131.97	$145.29