Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.96 / $137.96 / $137.96	Facility		$137.96	$137.96	$137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.20 / $181.20 / $181.20	Facility		$181.20	$181.20	$181.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00