Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $165.92	Facility		$165.92	$165.92	$165.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $164.68 / $165.92	Professional		$131.75	$164.68	$165.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $165.92	Facility		$165.92	$165.92	$165.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $102.99 / $165.92	Professional		$102.99	$102.99	$165.92
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $114.43	Professional		$48.06	$48.06	$114.43