Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $1,683.84 / $1,763.53	Professional		$360.90	$1,683.84	$1,763.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $474.33 / $1,474.14	Facility		$360.90	$474.33	$1,474.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $371.73 / $1,763.53	Professional		$360.90	$371.73	$1,763.53
United Facility/Professional Professional Modifier Low / Median / High Price $681.95 / $726.27 / $1,210.45	Professional		$681.95	$726.27	$1,210.45