Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.80 / $666.80 / $666.80	Facility		$666.80	$666.80	$666.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $660.80 / $666.80	Professional		$528.64	$660.80	$666.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $666.80 / $666.80 / $666.80	Facility		$666.80	$666.80	$666.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.87 / $413.87 / $666.80	Professional		$413.87	$413.87	$666.80
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $193.14 / $459.86	Professional		$193.14	$193.14	$459.86