Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $179.84	Professional		$164.70	$164.70	$179.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.60 / $237.00 / $298.70	Facility		$188.60	$237.00	$298.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00