Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,047.13 / $1,445.44	Facility		$354.81	$1,047.13	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,230.27 / $1,584.89	Facility		$562.34	$1,230.27	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $239.88 / $758.58	Facility		$208.93	$239.88	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87