Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $251.19	Professional		$165.96	$199.53	$251.19
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 $144.54 / $186.21 / $213.80	Facility		$144.54	$186.21	$213.80