Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $416.87	Professional		$186.21	$316.23	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $151.36	Professional		$95.50	$120.23	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $151.36	Professional		$77.62	$97.72	$151.36