Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $31.62	Professional		$25.12	$25.12	$31.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.76	Facility		$7.59	$7.59	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20