Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $358.03	Facility		$358.03	$358.03	$358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $354.66 / $358.03	Professional		$283.73	$354.66	$358.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $358.03	Facility		$358.03	$358.03	$358.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $185.07 / $242.14	Professional		$174.34	$185.07	$242.14
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $81.36 / $205.63	Professional		$81.36	$81.36	$205.63