Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $512.86	Professional		$186.21	$331.13	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $169.82	Professional		$114.82	$144.54	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $218.78	Facility		$93.33	$144.54	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20