Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $69.18	Professional		$50.12	$58.88	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $57.54	Facility		$30.90	$30.90	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18