Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,929.43 / $3,929.43 / $3,929.43	Facility		$3,929.43	$3,929.43	$3,929.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,929.43 / $3,929.43 / $3,929.43	Professional		$3,929.43	$3,929.43	$3,929.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,929.43 / $3,929.43 / $3,929.43	Facility		$3,929.43	$3,929.43	$3,929.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $2,438.96 / $3,929.43	Professional		$2,438.96	$2,438.96	$3,929.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $2,709.95	Professional		$1,138.18	$1,138.18	$2,709.95