Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.70 / $1,053.70 / $1,053.70	Facility		$1,053.70	$1,053.70	$1,053.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.77 / $641.25 / $1,053.70	Facility		$628.77	$641.25	$1,053.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00