Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $443.49 / $443.49	Facility		$443.49	$443.49	$443.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $921.09 / $1,057.55 / $1,112.13	Professional		$921.09	$1,057.55	$1,112.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $682.29 / $859.69	Facility		$443.49	$682.29	$859.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $719.82 / $818.75 / $948.38	Professional		$719.82	$818.75	$948.38
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $409.37	Professional		$286.56	$286.56	$409.37