Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $2,290.87	Professional		$562.34	$562.34	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $14,791.08	Facility		$2,818.38	$7,585.78	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $3,467.37 / $6,760.83	Professional		$512.86	$3,467.37	$6,760.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $3,630.78	Professional		$489.78	$562.34	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $7,079.46	Facility		$4,677.35	$4,786.30	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,884.03 / $6,456.54	Professional		$512.86	$2,884.03	$6,456.54