Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $492.76 / $492.76 / $880.00	Facility		$492.76	$492.76	$880.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $825.00 / $1,612.00	Facility		$620.00	$825.00	$1,612.00
Qualchoice Facility/Professional Facility Modifier Low / Median / High Price $566.66 / $1,012.00 / $1,012.00	Facility		$566.66	$1,012.00	$1,012.00