Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Facility		$47.80	$47.80	$47.80
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 $54.97 / $54.97 / $54.97	Facility		$54.97	$54.97	$54.97