Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $83.18 / $380.19	Facility		$40.74	$83.18	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $181.97 / $851.14	Facility		$38.02	$181.97	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $50.12	Facility		$25.12	$50.12	$50.12