Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Professional		$227.29	$227.29	$227.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $141.08 / $227.29	Professional		$141.08	$141.08	$227.29
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $156.75	Professional		$65.84	$65.84	$156.75