Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $36.31	Professional		$28.84	$28.84	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Facility		$18.20	$18.20	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20