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 $355.00 / $355.00 / $355.00	Facility		$355.00	$355.00	$355.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $415.00 / $535.00	Facility		$340.00	$415.00	$535.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $475.00 / $1,675.00	Facility		$360.00	$475.00	$1,675.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $310.00 / $7,679.91	Facility		$100.00	$310.00	$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 / $1,010.00 / $1,591.00	Facility		$561.00	$1,010.00	$1,591.00