Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $436.52	Facility		$154.88	$363.08	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $234.42	Facility		$154.88	$234.42	$234.42