Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $543.75 / $543.75	Facility		$543.75	$543.75	$543.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $543.75 / $543.75	Professional		$543.75	$543.75	$543.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $543.75 / $543.75	Facility		$543.75	$543.75	$543.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $337.50 / $543.75	Professional		$337.50	$337.50	$543.75
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $157.50 / $375.00	Professional		$157.50	$157.50	$375.00