Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,621.81	Professional		$1,122.02	$1,348.96	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Professional		$398.11	$398.11	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,019.95	Facility		$2,951.21	$2,951.21	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $588.84	Professional		$263.03	$346.74	$588.84