Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $189.36 / $189.36	Facility		$189.36	$189.36	$189.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Facility		$423.00	$423.00	$423.00