Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $30.81 / $119.45	Facility		$22.80	$30.81	$119.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $177.04 / $317.00	Facility		$77.00	$177.04	$317.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $123.00	Facility		$15.00	$15.00	$123.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00