Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $33.21 / $59.66	Facility		$30.66	$33.21	$59.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $229.25 / $317.00	Facility		$77.00	$229.25	$317.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $125.00	Facility		$15.00	$15.00	$125.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00