Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $179.84 / $520.89	Facility		$92.63	$179.84	$520.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $309.39 / $490.20	Facility		$309.39	$309.39	$490.20