Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.17 / $288.17 / $288.17	Facility		$288.17	$288.17	$288.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $288.17 / $288.17	Professional		$288.17	$288.17	$288.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.17 / $288.17 / $288.17	Facility		$288.17	$288.17	$288.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $134.06 / $238.34	Professional		$134.06	$134.06	$238.34
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $62.56 / $148.96	Professional		$62.56	$62.56	$148.96