Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $177.83	Professional		$123.03	$147.91	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $190.55	Professional		$67.61	$67.61	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $223.87	Facility		$45.71	$60.26	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20