Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $11.51 / $32.04	Facility		$11.51	$11.51	$32.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,795.00 / $2,795.00 / $2,795.00	Facility		$2,795.00	$2,795.00	$2,795.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $35.26 / $584.24	Facility		$10.85	$35.26	$584.24