Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $468.00 / $787.23	Facility		$193.14	$468.00	$787.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $198.56 / $198.56	Facility		$198.56	$198.56	$198.56