Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $107.25 / $188.06 / $401.25	Facility		$107.25	$188.06	$401.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $221.00 / $3,494.00	Facility		$221.00	$221.00	$3,494.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $283.36	Facility		$158.00	$158.00	$283.36