Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $141.25	Professional		$72.44	$95.50	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $199.53 / $2,511.89	Facility		$173.78	$199.53	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $1,778.28	Professional		$173.78	$371.54	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $562.34	Professional		$316.23	$371.54	$562.34