Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $225.96	Professional		$18.44	$153.77	$225.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $68.58 / $181.34	Facility		$15.02	$68.58	$181.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $225.96	Professional		$18.44	$153.77	$225.96
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $105.46 / $175.76	Professional		$84.29	$105.46	$175.76