Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,104.00 / $5,104.00 / $5,104.00	Facility		$5,104.00	$5,104.00	$5,104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,044.92 / $5,056.14 / $5,104.00	Professional		$4,044.92	$5,056.14	$5,104.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,104.00 / $5,104.00 / $5,104.00	Facility		$5,104.00	$5,104.00	$5,104.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,168.00 / $3,520.00 / $5,104.00	Professional		$3,168.00	$3,520.00	$5,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,478.40 / $3,520.00	Professional		$1,478.40	$1,478.40	$3,520.00