Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.90 / $1,463.90 / $1,463.90	Professional		$1,463.90	$1,463.90	$1,463.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $750.00 / $1,125.00	Facility		$100.00	$750.00	$1,125.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $35.00	Professional		$30.00	$30.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00