Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $322.00 / $322.00	Professional		$322.00	$322.00	$322.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $290.72 / $290.72 / $290.72	Facility		$290.72	$290.72	$290.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $100.00	Professional		$30.00	$50.00	$100.00