Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $9,549.93	Professional		$758.58	$758.58	$9,549.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,302.69 / $23,442.29	Facility		$4,570.88	$12,302.69	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $14,125.38 / $26,915.35	Professional		$812.83	$14,125.38	$26,915.35
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 $776.25 / $912.01 / $13,489.63	Professional		$776.25	$912.01	$13,489.63
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 $6,918.31 / $16,982.44 / $16,982.44	Facility		$6,918.31	$16,982.44	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $12,022.64 / $25,118.86	Professional		$831.76	$12,022.64	$25,118.86