Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.92 / $1,000.92 / $1,000.92	Facility		$1,000.92	$1,000.92	$1,000.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.92 / $1,000.92 / $1,000.92	Professional		$1,000.92	$1,000.92	$1,000.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.92 / $1,000.92 / $1,000.92	Facility		$1,000.92	$1,000.92	$1,000.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $621.26 / $1,000.92	Professional		$621.26	$621.26	$1,000.92
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $289.92 / $690.29	Professional		$289.92	$289.92	$690.29