Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $128.47 / $261.05	Facility		$88.00	$128.47	$261.05
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