Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $33.97 / $114.25	Facility		$27.15	$33.97	$114.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $111.00 / $150.00	Facility		$75.00	$111.00	$150.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $53.16 / $126.48	Facility		$32.10	$53.16	$126.48