Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $196.93 / $259.68 / $499.38	Facility		$196.93	$259.68	$499.38
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 $191.36 / $290.36 / $574.29	Facility		$191.36	$290.36	$574.29
United Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00