Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $295.68 / $406.72	Facility		$142.04	$295.68	$406.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $324.20 / $438.38	Facility		$112.04	$324.20	$438.38