Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $54.95 / $89.13	Professional		$4.47	$54.95	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $22.91	Facility		$15.49	$15.49	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20