Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,141.36 / $1,141.36 / $1,141.36	Facility		$1,141.36	$1,141.36	$1,141.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.36 / $1,141.36 / $1,141.36	Professional		$1,141.36	$1,141.36	$1,141.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,141.36 / $1,141.36 / $1,141.36	Facility		$1,141.36	$1,141.36	$1,141.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $708.44 / $1,141.36	Professional		$708.44	$708.44	$1,141.36
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $787.15	Professional		$330.60	$330.60	$787.15