Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $101.86 / $459.65	Facility		$66.87	$101.86	$459.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $500.00 / $676.00	Facility		$375.00	$500.00	$676.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $116.89 / $202.16	Facility		$76.90	$116.89	$202.16