Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $72.30 / $152.00	Facility		$28.50	$72.30	$152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $108.00 / $114.00	Facility		$62.00	$108.00	$114.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Facility		$100.00	$125.00	$345.40