Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $426.58 / $954.99	Facility		$331.13	$426.58	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,778.28	Facility		$645.65	$851.14	$1,778.28
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $489.78 / $1,096.48	Facility		$380.19	$489.78	$1,096.48