Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $181.97	Facility		$53.70	$97.72	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $275.42	Facility		$81.28	$158.49	$275.42