Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $2,196.48 / $3,029.69 / $10,173.75	Facility		$2,196.48	$3,029.69	$10,173.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $688.00 / $688.00	Facility		$688.00	$688.00	$688.00