Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,328.75 / $5,328.75 / $5,328.75	Facility		$5,328.75	$5,328.75	$5,328.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,328.75 / $5,328.75 / $5,328.75	Professional		$5,328.75	$5,328.75	$5,328.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,328.75 / $5,328.75 / $5,328.75	Facility		$5,328.75	$5,328.75	$5,328.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $3,307.50 / $5,328.75	Professional		$3,307.50	$3,307.50	$5,328.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $3,675.00	Professional		$1,543.50	$1,543.50	$3,675.00