Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $112.20	Facility		$43.65	$74.13	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $125.89	Facility		$25.70	$83.18	$125.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $154.88 / $169.82	Facility		$144.54	$154.88	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $251.19	Facility		$70.79	$72.44	$251.19