Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $4,466.84	Professional		$1,659.59	$3,548.13	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $79.43	Professional		$60.26	$70.79	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,905.46	Facility		$1,348.96	$1,778.28	$1,905.46