Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,229.07 / $4,229.07 / $4,229.07	Facility		$4,229.07	$4,229.07	$4,229.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,229.07 / $4,229.07 / $4,229.07	Professional		$4,229.07	$4,229.07	$4,229.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,229.07 / $4,229.07 / $4,229.07	Facility		$4,229.07	$4,229.07	$4,229.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,624.94 / $2,624.94 / $4,229.07	Professional		$2,624.94	$2,624.94	$4,229.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,224.97 / $2,916.60	Professional		$1,224.97	$1,224.97	$2,916.60