Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.32 / $989.32 / $989.32	Facility		$989.32	$989.32	$989.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.32 / $989.32 / $989.32	Professional		$989.32	$989.32	$989.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.32 / $989.32 / $989.32	Facility		$989.32	$989.32	$989.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $614.05 / $989.32	Professional		$614.05	$614.05	$989.32
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $682.29	Professional		$286.56	$286.56	$682.29