Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $65.27 / $117.81 / $221.65	Facility		$65.27	$117.81	$221.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.44 / $355.44 / $418.90	Facility		$355.44	$355.44	$418.90