Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $360.34 / $360.34	Facility		$360.34	$360.34	$360.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.34 / $360.34 / $360.34	Professional		$360.34	$360.34	$360.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $360.34 / $360.34	Facility		$360.34	$360.34	$360.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $223.66 / $360.34	Professional		$223.66	$223.66	$360.34
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $104.37 / $248.51	Professional		$104.37	$104.37	$248.51