Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $114.35	Facility		$66.39	$66.39	$114.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $114.35 / $114.35	Professional		$66.39	$114.35	$114.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $90.42 / $135.87	Facility		$66.39	$90.42	$135.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $114.35 / $114.35	Professional		$66.39	$114.35	$114.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $44.54 / $56.47	Professional		$44.54	$44.54	$56.47