Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,523.00 / $2,523.00 / $2,523.00	Facility		$2,523.00	$2,523.00	$2,523.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,523.00 / $2,523.00 / $2,523.00	Professional		$2,523.00	$2,523.00	$2,523.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,523.00 / $2,523.00 / $2,523.00	Facility		$2,523.00	$2,523.00	$2,523.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $1,566.00 / $2,523.00	Professional		$1,566.00	$1,566.00	$2,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $1,740.00	Professional		$730.80	$730.80	$1,740.00