Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $1,096.48	Professional		$851.14	$912.01	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $870.96	Facility		$676.08	$870.96	$870.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76