Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $359.66 / $577.35	Professional		$201.45	$359.66	$577.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.48 / $128.54 / $173.11	Facility		$86.48	$128.54	$173.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $156.00 / $156.00	Professional		$149.10	$156.00	$156.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00