Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $204.17	Facility		$87.10	$125.89	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $154.88	Facility		$64.57	$114.82	$154.88
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $204.17	Facility		$100.00	$144.54	$204.17