Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Facility		$675.95	$675.95	$675.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Professional		$675.95	$675.95	$675.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Facility		$675.95	$675.95	$675.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $419.55 / $675.95	Professional		$419.55	$419.55	$675.95
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $466.17	Professional		$195.79	$195.79	$466.17