Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $331.13	Facility		$67.61	$102.33	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $501.19 / $645.65	Facility		$371.54	$501.19	$645.65
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $380.19	Facility		$77.62	$117.49	$380.19