Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,162.28	Professional		$2,570.40	$2,570.40	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,096.48	Professional		$891.25	$1,000.00	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $3,548.13	Facility		$812.83	$1,698.24	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,122.02	Professional		$30.20	$30.20	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $2,238.72	Facility		$1,096.48	$1,230.27	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,230.27	Professional		$645.65	$831.76	$1,230.27