Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.08 / $679.08 / $679.08	Facility		$679.08	$679.08	$679.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.08 / $679.08 / $679.08	Professional		$679.08	$679.08	$679.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.08 / $679.08 / $679.08	Facility		$679.08	$679.08	$679.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $421.50 / $679.08	Professional		$421.50	$421.50	$679.08
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $468.33	Professional		$196.70	$196.70	$468.33