Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $954.99	Facility		$177.83	$331.13	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $1,258.93	Facility		$102.33	$257.04	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $512.86	Facility		$114.82	$114.82	$512.86