Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $3,890.45	Professional		$691.83	$870.96	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $933.25 / $1,445.44	Facility		$234.42	$933.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20