Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.17 / $1,085.17 / $1,085.17	Facility		$1,085.17	$1,085.17	$1,085.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.17 / $1,085.17 / $1,085.17	Professional		$1,085.17	$1,085.17	$1,085.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.17 / $1,085.17 / $1,085.17	Facility		$1,085.17	$1,085.17	$1,085.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $673.55 / $1,085.17	Professional		$673.55	$673.55	$1,085.17
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $314.32 / $748.39	Professional		$314.32	$314.32	$748.39