Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $280.75 / $519.40 / $775.00	Facility		$280.75	$519.40	$775.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.54 / $613.83 / $1,435.00	Facility		$386.54	$613.83	$1,435.00