Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $65.55 / $65.55	Facility		$65.55	$65.55	$65.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $103.75 / $207.13	Professional		$69.19	$103.75	$207.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00