Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,174.90	Professional		$912.01	$1,071.52	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $3,801.89	Facility		$870.96	$1,778.28	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,202.26	Professional		$30.20	$30.20	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,398.83	Facility		$1,174.90	$1,318.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,348.96	Professional		$691.83	$891.25	$1,348.96