Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $212.99	Professional		$19.86	$174.27	$212.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $137.94 / $340.78	Facility		$28.38	$137.94	$340.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $212.99	Professional		$19.86	$174.27	$212.99
United Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $116.71 / $194.52	Professional		$108.62	$116.71	$194.52