Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Facility		$36.36	$36.36	$36.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $146.75 / $274.00	Professional		$69.87	$146.75	$274.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00