Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $75.86 / $89.13	Professional		$4.47	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $15.49	Professional		$12.30	$12.30	$15.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Facility		$12.02	$12.02	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20