Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.77 / $590.77 / $590.77	Facility		$590.77	$590.77	$590.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.77 / $590.77 / $590.77	Professional		$590.77	$590.77	$590.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.77 / $590.77 / $590.77	Facility		$590.77	$590.77	$590.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $366.69 / $590.77	Professional		$366.69	$366.69	$590.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.51 / $171.12	Professional		$69.51	$69.51	$171.12