Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $158.49	Facility		$93.33	$134.90	$158.49