Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $260.24 / $431.25	Facility		$159.27	$260.24	$431.25
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 $76.16 / $350.20 / $907.12	Facility		$76.16	$350.20	$907.12