Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $234.42	Professional		$131.83	$131.83	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $125.89	Facility		$81.28	$97.72	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $109.65	Professional		$83.18	$104.71	$109.65