Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $189.85 / $295.45 / $295.45	Facility		$189.85	$295.45	$295.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $30.00 / $152.00	Facility		$26.00	$30.00	$152.00