Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $10.00	Professional		$7.94	$10.00	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.47 / $12.59	Facility		$7.94	$10.47	$12.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95