Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.45 / $672.45 / $672.45	Facility		$672.45	$672.45	$672.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $666.48 / $672.45	Professional		$533.17	$666.48	$672.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.45 / $672.45 / $672.45	Facility		$672.45	$672.45	$672.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.38 / $417.38 / $672.45	Professional		$417.38	$417.38	$672.45
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $194.78 / $463.76	Professional		$194.78	$194.78	$463.76