Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $94.28 / $94.28	Facility		$94.28	$94.28	$94.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $259.00 / $317.00	Facility		$95.00	$259.00	$317.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $127.00	Facility		$15.00	$15.00	$127.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00