Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $269.15	Professional		$186.21	$223.87	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $177.83	Professional		$165.96	$165.96	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $229.09	Facility		$70.79	$125.89	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20