Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $398.11	Facility		$169.82	$213.80	$398.11
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