Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,288.71 / $1,288.71 / $1,288.71	Facility		$1,288.71	$1,288.71	$1,288.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,619.00 / $2,664.00 / $3,494.00	Facility		$1,619.00	$2,664.00	$3,494.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $366.52 / $1,036.32	Facility		$78.88	$366.52	$1,036.32