Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $159.88	Facility		$88.16	$88.16	$159.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $137.88 / $159.88	Professional		$88.16	$137.88	$159.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $136.29 / $220.61	Facility		$88.16	$136.29	$220.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $137.88 / $159.88	Professional		$88.16	$137.88	$159.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $65.86 / $109.76	Professional		$65.86	$65.86	$109.76