Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $676.08	Facility		$190.55	$263.03	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $4,073.80	Facility		$1,905.46	$2,137.96	$4,073.80
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Facility		$100.00	$199.53	$346.74
Molina Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $263.03 / $812.83	Facility		$70.79	$263.03	$812.83