Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $162.43 / $162.43	Facility		$162.43	$162.43	$162.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $160.55 / $162.43	Professional		$128.44	$160.55	$162.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $162.43 / $162.43	Facility		$162.43	$162.43	$162.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $162.43	Professional		$100.82	$100.82	$162.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $112.02	Professional		$47.05	$47.05	$112.02