Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.68	Professional		$4.47	$4.47	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $19.50	Facility		$9.12	$9.12	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20