Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $195.38 / $244.22	Professional		$195.38	$195.38	$244.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $182.00 / $194.74	Facility		$182.00	$182.00	$194.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00