Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.24 / $741.24 / $741.24	Facility		$741.24	$741.24	$741.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $734.11 / $741.24	Professional		$587.29	$734.11	$741.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.24 / $741.24 / $741.24	Facility		$741.24	$741.24	$741.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $460.08 / $741.24	Professional		$460.08	$460.08	$741.24
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $214.70 / $511.20	Professional		$214.70	$214.70	$511.20