Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $114.00 / $191.73	Facility		$56.51	$114.00	$191.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.84 / $237.03 / $324.80	Facility		$102.84	$237.03	$324.80