Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $707.95	Professional		$302.00	$380.19	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $257.04	Facility		$141.25	$218.78	$257.04