Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $229.78	Facility		$134.41	$134.41	$229.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $229.78 / $229.78	Professional		$134.41	$229.78	$229.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $138.37 / $263.14	Facility		$106.51	$138.37	$263.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $164.46 / $229.78	Professional		$134.41	$164.46	$229.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $92.80 / $154.66	Professional		$83.87	$92.80	$154.66