Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,639.62 / $1,705.19	Professional		$188.66	$1,639.62	$1,705.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.89 / $1,299.19 / $2,728.30	Facility		$226.89	$1,299.19	$2,728.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,639.62 / $1,705.19	Professional		$188.66	$1,639.62	$1,705.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.11 / $1,123.40 / $1,872.33	Professional		$1,023.11	$1,123.40	$1,872.33