Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $109.39 / $119.88	Facility		$109.39	$109.39	$119.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $119.88 / $119.88	Professional		$101.90	$119.88	$119.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $74.02 / $145.60	Facility		$55.62	$74.02	$145.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $119.88 / $151.19	Professional		$84.12	$119.88	$151.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $135.09 / $150.21	Professional		$123.24	$135.09	$150.21