Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.03 / $763.03 / $763.03	Facility		$763.03	$763.03	$763.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $755.79 / $763.03	Professional		$604.63	$755.79	$763.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.03 / $763.03 / $763.03	Facility		$763.03	$763.03	$763.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.61 / $473.61 / $763.03	Professional		$473.61	$473.61	$763.03
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $221.02 / $526.23	Professional		$221.02	$221.02	$526.23