Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,059.96 / $5,059.96 / $5,059.96	Facility		$5,059.96	$5,059.96	$5,059.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,059.96 / $5,059.96 / $5,059.96	Professional		$5,059.96	$5,059.96	$5,059.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,059.96 / $5,059.96 / $5,059.96	Facility		$5,059.96	$5,059.96	$5,059.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $3,140.67 / $5,059.96	Professional		$3,140.67	$3,140.67	$5,059.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,465.64 / $3,489.63	Professional		$1,465.64	$1,465.64	$3,489.63