Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $457.09	Professional		$323.59	$380.19	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $173.78	Professional		$151.36	$151.36	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $239.88	Facility		$117.49	$144.54	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20