Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.10 / $699.10 / $699.10	Facility		$699.10	$699.10	$699.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.10 / $699.10 / $699.10	Professional		$699.10	$699.10	$699.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.10 / $699.10 / $699.10	Facility		$699.10	$699.10	$699.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $433.93 / $699.10	Professional		$433.93	$433.93	$699.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $207.31	Professional		$87.07	$87.07	$207.31