Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,119.36 / $1,119.36 / $1,119.36	Facility		$1,119.36	$1,119.36	$1,119.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $1,108.91 / $1,119.36	Professional		$887.12	$1,108.91	$1,119.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,119.36 / $1,119.36 / $1,119.36	Facility		$1,119.36	$1,119.36	$1,119.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $694.78 / $1,119.36	Professional		$694.78	$694.78	$1,119.36
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $324.23 / $771.98	Professional		$324.23	$324.23	$771.98