Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.48 / $705.48 / $705.48	Facility		$705.48	$705.48	$705.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.48 / $705.48 / $705.48	Professional		$705.48	$705.48	$705.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.48 / $705.48 / $705.48	Facility		$705.48	$705.48	$705.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $437.89 / $705.48	Professional		$437.89	$437.89	$705.48
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $204.35 / $486.54	Professional		$204.35	$204.35	$486.54