Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $32.61 / $103.80	Facility		$23.46	$32.61	$103.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $178.15 / $178.15	Facility		$178.15	$178.15	$178.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $98.62 / $313.10	Facility		$75.00	$98.62	$313.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.00 / $125.00	Facility		$15.00	$25.00	$125.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00