Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $776.25	Professional		$537.03	$645.65	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Professional		$245.47	$245.47	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $398.11	Facility		$190.55	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20