Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $133.55 / $276.31	Facility		$15.00	$133.55	$276.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Facility		$160.00	$160.00	$160.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $207.92 / $1,294.27	Facility		$38.92	$207.92	$1,294.27