Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $251.19	Professional		$120.23	$151.36	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $177.83	Facility		$112.20	$154.88	$177.83