Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $24.55	Professional		$4.47	$4.47	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.05	Facility		$16.98	$16.98	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20