Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $417.19 / $417.19 / $417.19	Facility		$417.19	$417.19	$417.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Facility		$423.00	$423.00	$423.00