Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $122.05 / $147.50	Facility		$88.38	$122.05	$147.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $110.00 / $150.00	Facility		$65.00	$110.00	$150.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $101.64 / $139.63 / $212.85	Facility		$101.64	$139.63	$212.85