Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $58.03 / $58.03	Facility		$58.03	$58.03	$58.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $805.01 / $1,663.61 / $2,164.00	Facility		$805.01	$1,663.61	$2,164.00