Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $676.08	Facility		$151.36	$245.47	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $1,174.90	Facility		$467.74	$954.99	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Facility		$467.74	$467.74	$660.69