Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $504.27 / $630.34	Professional		$504.27	$504.27	$630.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $438.93 / $968.94	Facility		$438.93	$438.93	$968.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $531.11 / $1,272.90	Facility		$504.77	$531.11	$1,272.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $526.72 / $682.78	Professional		$482.82	$526.72	$682.78
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $184.35 / $184.35	Professional		$184.35	$184.35	$184.35