Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $59.85 / $126.75	Facility		$33.18	$59.85	$126.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $26.76 / $42.07	Facility		$26.76	$26.76	$42.07