Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $870.96	Professional		$363.08	$363.08	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $22,908.68	Facility		$4,365.16	$11,748.98	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $11,481.54 / $21,379.62	Professional		$794.33	$11,481.54	$21,379.62
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 $758.58 / $870.96 / $10,715.19	Professional		$758.58	$870.96	$10,715.19
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 $5,888.44 / $16,982.44 / $16,982.44	Facility		$5,888.44	$16,982.44	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $9,332.54 / $19,498.45	Professional		$812.83	$9,332.54	$19,498.45