Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $193.46 / $250.54 / $343.51	Facility		$193.46	$250.54	$343.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $638.19 / $638.19	Facility		$28.00	$638.19	$638.19