Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $1,545.00 / $2,528.00	Facility		$607.00	$1,545.00	$2,528.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $212.15 / $350.00	Facility		$150.00	$212.15	$350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $535.00 / $3,097.42	Facility		$325.00	$535.00	$3,097.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $375.00 / $1,675.00	Facility		$300.00	$375.00	$1,675.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $250.00 / $7,679.91	Facility		$100.00	$250.00	$7,679.91
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $1,900.00	Facility		$1,900.00	$1,900.00	$1,900.00
United Facility/Professional Facility Modifier Low / Median / High Price $561.00 / $1,026.00 / $1,662.00	Facility		$561.00	$1,026.00	$1,662.00