Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $67.05 / $67.05 / $67.05	Facility		$67.05	$67.05	$67.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $1,200.00 / $2,531.73	Facility		$380.00	$1,200.00	$2,531.73