Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $297.56 / $1,673.38	Facility		$75.20	$297.56	$1,673.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $721.00 / $895.00	Facility		$75.00	$721.00	$895.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00