Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $94.55 / $94.55	Facility		$94.55	$94.55	$94.55
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 $108.73 / $108.73 / $108.73	Facility		$108.73	$108.73	$108.73