Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.53 / $619.53 / $619.53	Facility		$619.53	$619.53	$619.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.53 / $619.53 / $619.53	Professional		$619.53	$619.53	$619.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.53 / $619.53 / $619.53	Facility		$619.53	$619.53	$619.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $384.53 / $619.53	Professional		$384.53	$384.53	$619.53
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $427.26	Professional		$179.45	$179.45	$427.26