Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.37 / $5.25	Professional		$4.17	$4.37	$5.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $218.78 / $436.52	Professional		$13.49	$218.78	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20