Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $1,392.60	Professional		$109.53	$707.88	$1,392.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $422.73 / $1,118.32	Facility		$92.66	$422.73	$1,118.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $1,392.60	Professional		$109.53	$707.88	$1,392.60
United Facility/Professional Professional Modifier Low / Median / High Price $519.47 / $649.83 / $649.83	Professional		$519.47	$649.83	$649.83