Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $4,677.35	Facility		$602.56	$3,801.89	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,311.31 / $4,365.16	Facility		$1,174.90	$3,311.31	$4,365.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Facility		$933.25	$933.25	$1,096.48